Organization Active NPI

Dietitian Direct Inc

  • Registered Dietitian
  • South Plainfield, NJ
National Provider Identifier
1760654180
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIETITIAN DIRECT INC
Practice address
904 Oak Tree Ave
Suite C
South Plainfield, NJ 07080-5126
Phone
(908) 229-9225
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Deepthi Potluri, MS,RD
Title
President
Phone
(908) 229-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

904 Oak Tree Ave
Suite C
South Plainfield, NJ 07080-5126

Mailing address

908 Village Dr
Avenel, NJ 07001-1013
Phone (908) 229-9225

National Provider Directory

National Provider Directory

Locations

904 Oak Tree Ave
Ste C
South Plainfield, NJ 07080
Phone (908) 229-9225

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1760654180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 VILLAGE DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011013",
            "telephone_number": "908-229-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE",
            "address_2": "SUITE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "908-229-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN DIRECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "POTLURI",
        "authorized_official_first_name": "DEEPTHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-229-9225",
        "authorized_official_credential": "MS,RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.