The Brazilian Dietitian, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE BRAZILIAN DIETITIAN, LLC

Practice address

361 Lafayette St
Newark, NJ 07105-2723

Phone

(973) 535-5229

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Girlene Barbon De Paiva Coughlin, RDN

Title

Owner

Phone

(908) 616-7410

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lauro Lucio Rocha, APRN,BC

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1639371628
  NPD
• Homer L Nelson, MD

  • Internal Medicine Physician
  • Somerset, NJ
  • NPI 1578667044
  NPD (past)

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1891298618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 TENEYCK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712829",
            "telephone_number": "908-616-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 LAFAYETTE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052723",
            "telephone_number": "973-535-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAZILIAN DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "DE PAIVA COUGHLIN",
        "authorized_official_first_name": "GIRLENE",
        "authorized_official_middle_name": "BARBON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-616-7410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tapan Parag Thaker, M.D.
• Ravi Daniel Thamburaj, DO
• The Arc of Essex County, Inc.
• The Arc of Essex County, Inc.
• The Balanced Diet
• The Center for Autism a NJ Nonprofit Corp
• The Connie Dwyer Breast Center
• The Devereux Foundation
• The Foundation of Praise
• The Hubb Arts & Trauma Center

• Registered Dietitian in Newark, NJ
• Providers in Newark, 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 Mar 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.