SLM Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

871383 Issued in NJ

Legal business name

SLM NUTRITION, LLC

Practice address

330 Grand St
Suite 100
Hoboken, NJ 07030-2728

Phone

(201) 637-2631

Fax

(973) 696-2433

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Susana L Mendelson, RD, CDENPI 1164510657

Title

Nutritionist/Dietician

Phone

(201) 637-2631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Susana L Mendelson, RD, CDE

  • Registered Dietitian
  • Hoboken, NJ
  • NPI 1164510657
  Medicare reassignment Authorized official
• Dariusz Jasinski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pequannock, NJ
  • NPI 1013995182
  NPD (past)
• Harold I Jawetz

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1972543585
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1861670671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070350413",
            "telephone_number": "201-637-2631",
            "fax_number": "973-696-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "address_2": "SUITE 100",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728",
            "telephone_number": "201-637-2631",
            "fax_number": "973-696-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLM NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NUTRITIONIST/DIETICIAN",
        "authorized_official_telephone_number": "201-637-2631",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "871383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sisbarro, MD
• Kishan Arvind Sitapara, M.D.
• Priya Sivasankaran
• Emma Sivertsen, NP
• Chris J Skaria, PHARM.D
• Alyson Smith, LMFT
• Chelsea Taylor Smith, LCSW
• Heaven Smith
• Helen Smith, MSW LCSW
• Jody Smith, LPC

• Registered Dietitian in Hoboken, NJ
• Providers in Hoboken, 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 Feb 23, 2011; 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.