Active NPI
Nutritious Mom LLC
- Nutritionist
- Branchburg, NJ
National Provider Identifier
1871204016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- NUTRITIOUS MOM LLC
- Practice address
- 17 Oak Hill Rd
Branchburg, NJ 08853-4222 - Phone
- (701) 369-0890
- NPI assigned
- Dec 8, 2022
- Last updated
- Dec 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Burcu BB Beba, CNS
- Title
- Founder
- Phone
- (630) 487-6967
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary | |
| Nutrition Education Nutritionist | 133NN1002X | NU |
Addresses
Primary practice location
17 Oak Hill Rd
Branchburg, NJ 08853-4222
Mailing address
17 Oak Hill Rd
Branchburg, NJ 08853-4222
Other names 1
- NutritiousDr
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nutritionist
- Branchburg, NJ
- NPI 1447982400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1871204016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 OAK HILL RD",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088534222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 OAK HILL RD",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088534222",
"telephone_number": "701-369-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITIOUS MOM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "BEBA",
"authorized_official_first_name": "BURCU",
"authorized_official_middle_name": "BB",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "630-487-6967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CNS"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NutritiousDr",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Branchburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.