Active NPI
Leah Blum, RDN
- Registered Dietitian
- Lakewood, NJ
National Provider Identifier
1699328229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86054144
- Practice address
- 101 Twin Oaks Dr
Lakewood, NJ 08701-7156 - Phone
- (732) 901-0799
- Fax
- (732) 901-0799
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86054144 | NJ | Primary |
Addresses
Primary practice location
101 Twin Oaks Dr
Lakewood, NJ 08701-7156
Mailing address
101 Twin Oaks Dr
Lakewood, NJ 08701-7156
Phone (732) 901-0799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | LAKEWOOD | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86054144 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meira Waldman Rd LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1699328229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TWIN OAKS DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017156",
"telephone_number": "732-901-0799",
"fax_number": "732-901-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 TWIN OAKS DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017156",
"telephone_number": "732-901-0799",
"fax_number": "732-901-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "LEAH",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86054144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "LAKEWOOD",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Direct mail",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct mail",
"address_1": "101 Twin Oaks Dr",
"city": "Lakewood",
"state": "NJ",
"country_code": "US",
"postal_code": "087017156",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.