Active NPI
Jenna Ariel Stock, RD
- Registered Dietitian
- Hoboken, NJ
National Provider Identifier
1558607630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1059113
- Practice address
- 308 Willow Ave
Clinical Nutrition Office 6 South
Hoboken, NJ 07030-3808 - Phone
- (201) 418-1143
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1059113 | NJ | Primary |
Addresses
Primary practice location
308 Willow Ave
Clinical Nutrition Office 6 South
Hoboken, NJ 07030-3808
Mailing address
308 Willow Ave
Clinical Nutrition Office 6 South
Hoboken, NJ 07030-3808
Phone (201) 418-1143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059113 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1558607630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"address_2": "CLINICAL NUTRITION OFFICE 6 SOUTH",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"telephone_number": "201-418-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"address_2": "CLINICAL NUTRITION OFFICE 6 SOUTH",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"telephone_number": "201-418-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "JENNA",
"middle_name": "ARIEL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1059113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.