Active NPI
Susan Lord
- Registered Dietitian
- Hammonton, NJ
National Provider Identifier
1861722555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 718433
- Practice address
- 1001 Grand St S
Hammonton, NJ 08037-3384 - Phone
- (800) 550-9633
- NPI assigned
- Jan 4, 2010
- Last updated
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 718433 | Primary |
Addresses
Primary practice location
1001 Grand St S
Hammonton, NJ 08037-3384
Mailing address
1001 Grand St S
Hammonton, NJ 08037-3384
Phone (800) 550-9633
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1861722555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GRAND ST S",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080373384",
"telephone_number": "800-550-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GRAND ST S",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080373384",
"telephone_number": "800-550-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "718433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.