Individual provider Active NPI

Jennean Schram, M.S. R.D. CDE.

  • Registered Dietitian
  • Freehold, NJ
National Provider Identifier
1588967384
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R-627780
Practice address
901 W. Main Street
Centra State Medical Center
Freehold, NJ 07728
Phone
(732) 294-2574
Fax
(732) 294-2575
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X R-627780 Primary

Addresses

Primary practice location

901 W. Main Street
Centra State Medical Center
Freehold, NJ 07728

Mailing address

901 W. Main Street
Novo Nordisk Diabetes Center
Freehold, NJ 07728
Phone (732) 294-2574

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1588967384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W. MAIN STREET",
            "address_2": "NOVO NORDISK DIABETES CENTER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-294-2574",
            "fax_number": "732-294-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W. MAIN STREET",
            "address_2": "CENTRA STATE MEDICAL CENTER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-294-2574",
            "fax_number": "732-294-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "JENNEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S. R.D. CDE.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "R-627780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.