Organization Active NPI

Vernon Nutrition Center, LLC

  • Registered Dietitian
  • Vernon, NJ
National Provider Identifier
1619016094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
925918 Issued in NJ
Legal business name
VERNON NUTRITION CENTER, LLC
Practice address
529 RT 515
Suite 201 B
Vernon, NJ 07462
Phone
(973) 764-1600
Fax
(973) 858-0417
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erin Palinski, RDNPI 1538142401
Title
Owner
Phone
(973) 764-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 925918 NJ Primary

Addresses

Primary practice location

529 RT 515
Suite 201 B
Vernon, NJ 07462

Mailing address

529 RT 515
Suite 201 B
Vernon, NJ 07462
Phone (973) 764-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000585 NJ Part B Supplier - Clinic/Group Practice 4183631245 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, NJ

National Provider Directory

National Provider Directory
Tax ID family
Vernon Nutrition Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

529 Route 515
Ste 201B
Vernon, NJ 07462
Phone (973) 764-1600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619016094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 RT 515",
            "address_2": "SUITE 201 B",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "07462",
            "telephone_number": "973-764-1600",
            "fax_number": "973-858-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 RT 515",
            "address_2": "SUITE 201 B",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "07462",
            "telephone_number": "973-764-1600",
            "fax_number": "973-858-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALINSKI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-764-1600",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "925918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.