The Balanced Diet

Primary specialty

Dietary ManagerTaxonomy code 132700000X

Legal business name

THE BALANCED DIET

Practice address

117 Mount Prospect Ave
Newark, NJ 07104-1013

Phone

(347) 644-8747

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Chesha Hodge, MPA, RDNNPI 1407552003

Title

Owner

Phone

(347) 644-8747

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chesha Hodge, MPA, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Newark, NJ
  • NPI 1407552003
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1811636780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041013",
            "telephone_number": "347-644-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041013",
            "telephone_number": "347-644-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALANCED DIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "CHESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-644-8747",
        "authorized_official_credential": "MPA, RDN"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dietary Manager in Newark, NJ
• Providers in Newark, NJ by specialty
• Dietary Manager in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.