So Nutritious, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SO NUTRITIOUS, LLC

Practice address

68 Fairfield Ave
West Caldwell, NJ 07006-7604

Phone

(973) 567-3688

Fax

(973) 567-3688

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy O'Brien, RDNPI 1578050217

Title

Owner, Employee

Phone

(973) 567-3688

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy O'Brien, RDN

  • Registered Dietitian
  • West Caldwell, NJ
  • NPI 1578050217
  Authorized official Same address or phone

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1629546551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067604",
            "telephone_number": "973-567-3688",
            "fax_number": "973-567-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067604",
            "telephone_number": "973-567-3688",
            "fax_number": "973-567-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO NUTRITIOUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER, EMPLOYEE",
        "authorized_official_telephone_number": "973-567-3688",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umesh Shrestha
• Jordan Simpson, LAC
• Michelle Slepp
• Natalie Smith-Zuzovsky, OTR/L
• Beth A. Smith, P.T.
• Janet Sotomayor, PH.D.
• Katherine Speiser, ED.S
• Brendon M Spencer, DPT
• Spiricare of New Jersey Inc.
• Joel Steckelman, M.D.

• Registered Dietitian in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.