Nutrition Custom Care LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

NUTRITION CUSTOM CARE LLC

Practice address

270 Saint Pauls Ave Unit 1
Jersey City, NJ 07306-5012

Phone

(732) 936-5406

Fax

(724) 607-8725

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Janet Lau, RDN

Title

Registered Dietitian Nutritionist

Phone

(732) 936-5406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1730847484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SAINT PAULS AVE UNIT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "732-936-5406",
            "fax_number": "724-607-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SAINT PAULS AVE UNIT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "732-936-5406",
            "fax_number": "724-607-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CUSTOM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "732-936-5406",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anastacia Nyamongo
• Justus Onwong'a Nyamwancha, APN
• Stephanie O'Brien
• Susan E. O'Brien, DO
• Joan Margaret O'Leary, APN

• Nutritionist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.