Individual provider Active NPI

Jacqueline Baumrind, M.S., R.D., CD-N

  • Registered Dietitian
  • Norwood, NJ
National Provider Identifier
1730557455
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
819578 Issued in NJ
Practice address
12 17TH St
Norwood, NJ 07648-1416
Phone
(917) 572-9692
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 819578 NJ Primary

Addresses

Primary practice location

12 17TH St
Norwood, NJ 07648-1416

Mailing address

12 17TH St
Norwood, NJ 07648-1416
Phone (917) 572-9692

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1730557455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 17TH ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481416",
            "telephone_number": "917-572-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 17TH ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481416",
            "telephone_number": "917-572-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMRIND",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., CD-N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "819578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.