Individual provider Active NPI

Sam Jonuzi

  • Nutritionist
  • Egg Harbor City, NJ
National Provider Identifier
1760994594
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
714 W White Horse Pike
Egg Harbor City, NJ 08215-3838
Phone
(609) 515-1100
Fax
(609) 257-6512
NPI assigned
Nov 2, 2017
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

714 W White Horse Pike
Egg Harbor City, NJ 08215-3838

Mailing address

714 A West White Horse Pike
Egg Harbor City, NJ 08215-2737
Phone (609) 732-0101

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health & Wellness Current Accepting new patients
Proactive Health & Wellness Current Accepting new patients

Locations

714 W White Horse Pike
Egg Harbor City, NJ 08215
Phone (609) 385-5343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1760994594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 A WEST WHITE HORSE PIKE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082152737",
            "telephone_number": "609-732-0101",
            "fax_number": "609-257-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-515-1100",
            "fax_number": "609-257-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONUZI",
        "first_name": "SAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.