NPIMap

Organization Active NPI

Optimally Nourished LLC

  • Clinic/Center
  • Belleville, NJ
National Provider Identifier
1760034292
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OPTIMALLY NOURISHED LLC
Practice address
303 Belmont Ave Ste 2
Belleville, NJ 07109-1103
Phone
(973) 751-8411
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Amy K Murray, RDNPI 1124577366
Title
Owner
Phone
(224) 436-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

303 Belmont Ave Ste 2
Belleville, NJ 07109-1103

Mailing address

48 Spruce St
Nutley, NJ 07110-1063
Phone (224) 436-2606

National Provider Directory

National Provider Directory

Locations

303 Belmont Ave
Ste 2
Belleville, NJ 07109
Phone (973) 751-8411

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1760034292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SPRUCE ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101063",
            "telephone_number": "224-436-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BELMONT AVE STE 2",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091103",
            "telephone_number": "973-751-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMALLY NOURISHED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-436-2606",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.