Individual provider Active NPI

Nani Lepicard, RD

  • Registered Dietitian
  • Warren, NJ
National Provider Identifier
1609254036
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
917434 Issued in NY
Practice address
20 Thistle LN
Warren, NJ 07059-5564
Phone
(732) 283-1900
Fax
(732) 898-3951
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 917434 NY Primary

Addresses

Primary practice location

20 Thistle LN
Warren, NJ 07059-5564

Mailing address

370 Claremont Ave Apt a-2
Montclair, NJ 07042-1802
Phone (732) 283-1900

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

LicenseStateTypeSpecialty
917434NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kingley Health Services NJ LLC Past Accepting new patients
Mindful Eating Company LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1609254036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CLAREMONT AVE APT A-2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421802",
            "telephone_number": "732-283-1900",
            "fax_number": "732-898-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THISTLE LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595564",
            "telephone_number": "732-283-1900",
            "fax_number": "732-898-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPICARD",
        "first_name": "NANI",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "917434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.