Jennifer L Glavasich, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1038178 Issued in NJ

Practice address

1408 Field Ave
South Plainfield, NJ 07080-3716

Phone

(908) 249-2680

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1558839845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FIELD AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803716",
            "telephone_number": "908-249-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FIELD AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803716",
            "telephone_number": "908-249-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVASICH",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1038178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ghodbane
• Garrett Gianneschi, DO
• Edmund Giroux
• Gisela Munne, M.D., LLC
• Lynne Iris Glasser, PT
• Fallon Gokhman, PHARMD
• Douglas Goldstein, O.D.
• Geoffrey Gonzales, DMD
• Shruti Jayant Gonzales, DMD
• John Gore

• Registered Dietitian in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.