Functional Nutrition Partners

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

1459 Issued in CT

Legal business name

FUNCTIONAL NUTRITION PARTNERS

Practice address

26 Rolling Knolls Dr
Middletown, NJ 07748-3333

Phone

(973) 307-0041

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Romilly Hodges, MS CNS CN

Title

Managing Member

Phone

(973) 307-0041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1750823985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ROLLING KNOLLS DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483333",
            "telephone_number": "973-307-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROLLING KNOLLS DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483333",
            "telephone_number": "973-307-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL NUTRITION PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "ROMILLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-307-0041",
        "authorized_official_credential": "MS CNS CN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CT",
            "license": "1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.