Nutrition Specialists of New Jersey

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION SPECIALISTS OF NEW JERSEY

Doing business as

Nutrition Specialists of New Jersey

Practice address

12 Christie LN
Freehold, NJ 07728-3188

Phone

(732) 589-2547

NPI assigned

Sep 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley KravitzNPI 1992227565

Title

Business Owner, Ceo

Phone

(732) 589-2547

Specialties & licenses 1

Addresses

Other names 1

• Nutrition Specialists of New Jersey Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Taylor Kravitz

  • Registered Dietitian
  • Freehold, NJ
  • NPI 1992227565
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710496955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHRISTIE LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283188",
            "telephone_number": "732-589-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHRISTIE LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283188",
            "telephone_number": "732-589-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SPECIALISTS OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BUSINESS OWNER, CEO",
        "authorized_official_telephone_number": "732-589-2547"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Specialists of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nutrition Specialists of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.