Lauren Bloom Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

85007641 Issued in NJ

Legal business name

LAUREN BLOOM RD LLC

Practice address

517 Regal Blvd
Livingston, NJ 07039-8245

Phone

(973) 738-6763

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Lauren Bloom, MHA RD CDN CDE

Title

Owner

Phone

(973) 738-6763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1770892143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 REGAL BLVD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070398245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 REGAL BLVD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070398245",
            "telephone_number": "973-738-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN BLOOM RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-738-6763",
        "authorized_official_credential": "MHA RD CDN CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "85007641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christelle Lasek, PHARMD
• Victoria Anne Latella, MS, MBS, PA-C
• Valeria Francesca Latragna
• Barbara Lauer-Listhaus, PSYD
• Melinda Laureano, OT
• Mauricio Lavie, D.M.D.
• Allison Law
• Stephen Law, DO
• Esther A Lawal
• Meagan M Lawrence, D.C.

• Registered Dietitian in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.