Organization Active NPI

Complete Nutrition & Wellness

  • Specialist
  • Hoboken, NJ
National Provider Identifier
1659630598
Registry record updated May 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1022771 Issued in NJ
Legal business name
COMPLETE NUTRITION & WELLNESS
Practice address
80 Park Ave
Hoboken, NJ 07030-3572
Phone
(201) 238-2720
Fax
(201) 526-4684
NPI assigned
May 13, 2012
Organization subpart
Yes
Parent organization
COMPLETE NUTRITION & WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2012

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

Authorized official

Name
Mrs. Elizabeth Swick, RD
Title
Registered Dietician
Phone
(201) 238-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1022771 NJ Primary

Addresses

Primary practice location

80 Park Ave
Hoboken, NJ 07030-3572

Mailing address

80 Park Ave
Hoboken, NJ 07030-3572
Phone (201) 238-2720

National Provider Directory

National Provider Directory
Part of
Complete Nutrition Wellnes

Locations

80 Park Ave
Hoboken, NJ 07030
Phone (201) 238-2720

Practitioners & affiliated clinicians

Practitioners 1

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": "1336867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336867200000",
    "number": "1659630598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PARK AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303572",
            "telephone_number": "201-238-2720",
            "fax_number": "201-526-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PARK AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303572",
            "telephone_number": "201-238-2720",
            "fax_number": "201-526-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE NUTRITION & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE NUTRITION & WELLNESS",
        "enumeration_date": "2012-05-13",
        "last_updated": "2012-05-13",
        "status": "A",
        "authorized_official_last_name": "SWICK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETICIAN",
        "authorized_official_telephone_number": "201-238-2720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "1022771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.