Organization Active NPI

Total Holistic Nutrition

  • Registered Dietitian
  • Saddle Brook, NJ
National Provider Identifier
1548800626
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TOTAL HOLISTIC NUTRITION
Practice address
491 Van Orden St
Saddle Brook, NJ 07663-5236
Phone
(201) 450-2530
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Kaoutarani, RD
Title
Registered Dietitian
Phone
(201) 450-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

491 Van Orden St
Saddle Brook, NJ 07663-5236

Mailing address

491 Van Orden St
Saddle Brook, NJ 07663-5236
Phone (201) 450-2530

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1548800626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 VAN ORDEN ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635236",
            "telephone_number": "201-450-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 VAN ORDEN ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635236",
            "telephone_number": "201-450-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HOLISTIC NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "KAOUTARANI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "201-450-2530",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.