Individual provider Active NPI

Lori Rita Lee, M.A., R.D., C.P.T.

  • Registered Dietitian
  • Randolph, NJ
National Provider Identifier
1659400489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
724086 Issued in NJ
Practice address
1247 Sussex Tpke
Suite 230
Randolph, NJ 07869-2943
Phone
(973) 895-1212
Fax
(973) 895-9312
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 724086 NJ Primary

Addresses

Primary practice location

1247 Sussex Tpke
Suite 230
Randolph, NJ 07869-2943

Mailing address

1247 Sussex Tpke
Suite 230
Randolph, NJ 07869-2943
Phone (973) 895-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
724086NJMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659400489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 SUSSEX TPKE",
            "address_2": "SUITE 230",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692943",
            "telephone_number": "973-895-1212",
            "fax_number": "973-895-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 SUSSEX TPKE",
            "address_2": "SUITE 230",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692943",
            "telephone_number": "973-895-1212",
            "fax_number": "973-895-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LORI",
        "middle_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "M.A., R.D., C.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "724086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.