Active NPI
Elizabeth Sophie Kaelin, MS, RD
- Registered Dietitian
- Rockaway, NJ
National Provider Identifier
1891028692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01023534
- Practice address
- 34 Farview Rd
Rockaway, NJ 07866-2739 - Phone
- (914) 329-7958
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 01023534 | NJ | Primary |
Addresses
Primary practice location
34 Farview Rd
Rockaway, NJ 07866-2739
Mailing address
34 Farview Rd
Rockaway, NJ 07866-2739
Phone (914) 329-7958
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01023534 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingley Health Services NJ LLC | Past | Accepting new patients | |
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Iselin, NJ
- NPI 1538497516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1891028692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 FARVIEW RD",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662739",
"telephone_number": "914-329-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 FARVIEW RD",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662739",
"telephone_number": "914-329-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAELIN",
"first_name": "ELIZABETH",
"middle_name": "SOPHIE",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "01023534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.