Active NPI
Jennifer Chalhoub, MS, RD
- Registered Dietitian
- Woodbridge, NJ
National Provider Identifier
1760175665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86278158
- Practice address
- 1000 Vermella Way Apt 421
Woodbridge, NJ 07095-4835 - Phone
- (862) 331-9252
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86278158 | NJ | Primary |
Addresses
Primary practice location
1000 Vermella Way Apt 421
Woodbridge, NJ 07095-4835
Mailing address
1000 Vermella Way Apt 421
Woodbridge, NJ 07095-4835
Phone (862) 331-9252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86278158 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1760175665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VERMELLA WAY APT 421",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070954835",
"telephone_number": "862-331-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 VERMELLA WAY APT 421",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070954835",
"telephone_number": "862-331-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALHOUB",
"first_name": "JENNIFER",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86278158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.