Active NPI
Ak Nutrition and Wellness LLC
- Registered Dietitian
- North Bergen, NJ
National Provider Identifier
1659963742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- AK NUTRITION AND WELLNESS LLC
- Practice address
- 8100 River Rd Apt 103
North Bergen, NJ 07047-7205 - Phone
- (551) 223-0734
- NPI assigned
- Feb 9, 2021
- 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
- Anna Khesin, RD
- Title
- Owner
- Phone
- (551) 223-0734
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
8100 River Rd Apt 103
North Bergen, NJ 07047-7205
Mailing address
8100 River Rd Apt 103
North Bergen, NJ 07047-7205
Phone (551) 223-0734
National Provider Directory
National Provider DirectoryPractitioners & 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": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1659963742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 RIVER RD APT 103",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477205",
"telephone_number": "551-223-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 RIVER RD APT 103",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477205",
"telephone_number": "551-223-0734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AK NUTRITION AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "KHESIN",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "551-223-0734",
"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 North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.