Active NPI
Satisfi Nutrition Clinic, LLC
- Registered Dietitian
- Lakewood, NJ
National Provider Identifier
1649802844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SATISFI NUTRITION CLINIC, LLC
- Practice address
- 701 Cross St Ste 129
Lakewood, NJ 08701-4029 - Phone
- (773) 349-5536
- NPI assigned
- Feb 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bracha Stauber, RD
- Title
- Owner
- Phone
- (773) 349-5536
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
701 Cross St Ste 129
Lakewood, NJ 08701-4029
Mailing address
38 Zinfandel Rd
Lakewood, NJ 08701-4672
Phone (732) 367-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
701 Cross St
Ste 129
Lakewood, NJ 08701
Phone (732) 731-9340
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Lakewood, NJ
- NPI 1619459971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580947200000",
"number": "1649802844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ZINFANDEL RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014672",
"telephone_number": "732-367-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CROSS ST STE 129",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014029",
"telephone_number": "773-349-5536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATISFI NUTRITION CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A",
"authorized_official_last_name": "STAUBER",
"authorized_official_first_name": "BRACHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-349-5536",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.