Christa Lynn Brown, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1067475 Issued in NJ

Practice address

303 Sharon Garden CT
Woodbridge, NJ 07095-4317

Phone

(908) 217-6371

NPI assigned

Nov 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Christa Petersen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Christa Brown LLC

  • Registered Dietitian
  • Iselin, NJ
  • NPI 1033983085

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Mana Medical LLC

  • Internal Medicine Physician
  • Hazlet, NJ
  • NPI 1215534136
  NPD (past)
• New Jersey Behavioral Health P.C

  • Psychologist
  • Princeton Junction, NJ
  • NPI 1538744297
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1790029932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SHARON GARDEN CT",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070954317",
            "telephone_number": "908-217-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SHARON GARDEN CT",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070954317",
            "telephone_number": "908-217-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Pleasant Valley Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522956",
            "country_code": "US",
            "telephone_number": "973-718-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-10",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1067475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "303 Sharon Garden Ct",
            "city": "Woodbridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070954317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "PETERSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boscovs Department Store LLC
• Robert D Boyd, D.O
• April Brazil-Marcellana
• Mary Jo Bronson, PT
• Alycia Brown
• Paul Browne, PHARMD
• Bryson Chiropractic
• Alexsandra Noelle Buckley, MED
• Kavita K Bupathi, MD
• BW Behavioral Health L.L.C

• Registered Dietitian in Woodbridge, NJ
• Providers in Woodbridge, 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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.