Organization Active NPI

Chandler Ray, RDN LLC

  • Registered Dietitian
  • Bay Head, NJ
National Provider Identifier
1841886355
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHANDLER RAY, RDN LLC
Practice address
92 Bridge Ave Ste 202
Bay Head, NJ 08742-5068
Phone
(732) 701-7126
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Chandler Ray, RDNNPI 1699313031
Title
Registered Dietitian Nutritionist
Phone
(732) 701-7126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

92 Bridge Ave Ste 202
Bay Head, NJ 08742-5068

Mailing address

213 Park Ave
Bay Head, NJ 08742-5049
Phone (732) 586-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122002017 NJ Part B Supplier - Clinic/Group Practice 4587016944 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Head, NJ

National Provider Directory

National Provider Directory

Locations

92 Bridge Ave
Ste 202
Bay Head, NJ 08742
Phone (732) 586-3575

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1841886355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PARK AVE",
            "city": "BAY HEAD",
            "state": "NJ",
            "postal_code": "087425049",
            "telephone_number": "732-586-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRIDGE AVE STE 202",
            "city": "BAY HEAD",
            "state": "NJ",
            "postal_code": "087425068",
            "telephone_number": "732-701-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER RAY, RDN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "732-701-7126",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Head, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.