Organization Active NPI

Nutrition & Health Center Inc.

  • Registered Dietitian
  • Fort Lee, NJ
National Provider Identifier
1629442322
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION & HEALTH CENTER INC.
Practice address
2050 Center Ave
Suite # 325
Fort Lee, NJ 07024-4996
Phone
(201) 893-3402
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Boris Kaganov
Title
President
Phone
(201) 724-6481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2050 Center Ave
Suite # 325
Fort Lee, NJ 07024-4996

Mailing address

2050 Center Ave
Suite # 325
Fort Lee, NJ 07024-4996
Phone (201) 893-3402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126000993 NJ Part B Supplier - Clinic/Group Practice 4981986916 Receives reassigned benefits from 8 practitioners
Practice locations: Englishtown, NJ

National Provider Directory

National Provider Directory

Locations

230 W Jersey St
Fl 1
Elizabeth, NJ 07202
Phone (908) 469-9440

2050 Center Ave
Ste 325
Fort Lee, NJ 07024
Phone (201) 893-3402

393 Northfield Ave
Fl 1
West Orange, NJ 07052
Phone (201) 893-3402

Practitioners & affiliated clinicians

Practitioners 11

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": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1629442322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE",
            "address_2": "SUITE # 325",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244996",
            "telephone_number": "201-893-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE",
            "address_2": "SUITE # 325",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244996",
            "telephone_number": "201-893-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION & HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "KAGANOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-724-6481"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

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