Nicole Longoria, DTR, NPTI, NSCA-CPT

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

1310 Wallace St
Edison, NJ 08817-3384

Phone

(732) 754-8308

Fax

(732) 662-9392

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1720373178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WALLACE ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173384",
            "telephone_number": "732-754-8308",
            "fax_number": "732-662-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WALLACE ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173384",
            "telephone_number": "732-754-8308",
            "fax_number": "732-662-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DTR, NPTI, NSCA-CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph S Lombardi, M.D.
• Robert M Lombardi, M.D.
• Michelle Fuentes Lomotan, MD
• Loncke Industries Corporation
• Kelly Longarino
• Crystal Lopez
• Myranda Alexis Lopez
• Natalie Rosario Lopez
• Andrew Lotfalla, DO
• Lotus Counseling Services LLC

• Registered Dietetic Technician in Edison, NJ
• Providers in Edison, NJ by specialty
• Registered Dietetic Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.