Organization Active NPI

Satisfi Nutrition Clinic, LLC

  • Registered Dietitian
  • Lakewood, NJ
National Provider Identifier
1649802844
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Bracha Stauber, RDNPI 1619459971
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20200318000976 NJ Part B Supplier - Clinic/Group Practice 6406284884 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.