Active NPI
Worksite Wellness Nutrition
- Registered Dietitian
- Mahwah, NJ
National Provider Identifier
1760012082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WORKSITE WELLNESS NUTRITION
- Practice address
- 7 Brook St
Mahwah, NJ 07430-1103 - Phone
- (201) 264-2251
- NPI assigned
- Jan 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole Lyn Hallissey, MS, RDN, CDN
- Title
- Owner
- Phone
- (201) 264-2251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
7 Brook St
Mahwah, NJ 07430-1103
Mailing address
45 E End Ave Apt 4D
New York, NY 10028-7980
Phone (201) 264-2251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Mahwah, NJ
- NPI 1619514783
-
- Registered Dietitian
- Staten Island, NY
- NPI 1104511203
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1760012082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E END AVE APT 4D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287980",
"telephone_number": "201-264-2251",
"fax_number": "347-348-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BROOK ST",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301103",
"telephone_number": "201-264-2251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORKSITE WELLNESS NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-26",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "HALLISSEY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-264-2251",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, RDN, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.