Individual provider Active NPI

Jennifer Ellen Levine-Emdur, MS, RD, CNSC

  • Registered Dietitian
  • New Providence, NJ
National Provider Identifier
1821211442
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
885557 Issued in NJ
Practice address
41 Spring St
New Providence, NJ 07974-1143
Phone
(732) 692-2834
NPI assigned
Apr 11, 2007
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 885557 NJ Primary

Addresses

Primary practice location

41 Spring St
New Providence, NJ 07974-1143

Mailing address

35 Drake CT
Randolph, NJ 07869-4851
Phone (646) 245-6700

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
885557NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Immedicenter Bloomfield Past Accepting new patients
Heartshare Wellness, LTD. Past Accepting new patients
Medical Nutrition Associates PA PastSince Nov 1, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25697/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1821211442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DRAKE CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694851",
            "telephone_number": "646-245-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SPRING ST",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741143",
            "telephone_number": "732-692-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE-EMDUR",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "885557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.