Susan Luel Homberg, MS, CNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

139 3Rd Ave
Westwood, NJ 07675-2156

Phone

(201) 664-8111

NPI assigned

Jan 18, 2013

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

Credentials

Certified Nurse Specialist, Master of Science

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1568700987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 3RD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752156",
            "telephone_number": "201-664-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 3RD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752156",
            "telephone_number": "201-664-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMBERG",
        "first_name": "SUSAN",
        "middle_name": "LUEL",
        "name_prefix": "Ms.",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Nutrition Education Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.