Individual provider Active NPI

Beth A Lanzisera

  • Registered Dietitian
  • Cranford, NJ
National Provider Identifier
1750375457
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
943474 Issued in NJ
Practice address
51 Elizabeth Ave
Cranford, NJ 07016-2432
Phone
(908) 497-1469
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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 943474 NJ Primary

Addresses

Primary practice location

51 Elizabeth Ave
Cranford, NJ 07016-2432

Mailing address

51 Elizabeth Ave
Cranford, NJ 07016-2432
Phone (908) 497-1469

Other identifiers 1

IdentifierTypeStateIssuer
943474OtherNJCDR REGISTRATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000461 NJ Practitioner - Registered Dietitian Or Nutrition Professional 6103841697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Empire Medical Associates, P.C. Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1750375457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ELIZABETH AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162432",
            "telephone_number": "908-497-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ELIZABETH AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162432",
            "telephone_number": "908-497-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZISERA",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "943474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR REGISTRATION NUMBER",
            "identifier": "943474",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.