Organization Active NPI

Ripple Effect Nutrition LLC

  • Registered Dietitian
  • Ho Ho Kus, NJ
National Provider Identifier
1700434313
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
RIPPLE EFFECT NUTRITION LLC
Practice address
611 N Maple Ave Ste 9
Ho Ho Kus, NJ 07423-1668
Phone
(551) 206-1232
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Angela Criscuoli, RD
Title
Owner
Phone
(551) 206-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

611 N Maple Ave Ste 9
Ho Ho Kus, NJ 07423-1668

Mailing address

205 Larch LN
Mahwah, NJ 07430-2070

National Provider Directory

National Provider Directory

Locations

611 N Maple Ave
Ste 9
Ho Ho Kus, NJ 07423
Phone (201) 670-5750

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": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1700434313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LARCH LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE STE 9",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "551-206-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPPLE EFFECT NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "CRISCUOLI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-206-1232",
        "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 Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.