Organization Active NPI

Garden State Nutrition & Wellness

  • Registered Dietitian
  • Westfield, NJ
National Provider Identifier
1902160203
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
932870 Issued in NJ
Legal business name
GARDEN STATE NUTRITION & WELLNESS
Practice address
220 Elmer St
Westfield, NJ 07090-2128
Phone
(908) 510-1365
Fax
(201) 455-6680
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Amy Grobe, RD
Title
Registered Dietitian/Owner
Phone
(908) 510-1365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 932870 NJ Primary

Addresses

Primary practice location

220 Elmer St
Westfield, NJ 07090-2128

Mailing address

220 Elmer St
Westfield, NJ 07090-2128
Phone (908) 510-1365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1902160203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ELMER ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902128",
            "telephone_number": "908-510-1365",
            "fax_number": "201-455-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ELMER ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902128",
            "telephone_number": "908-510-1365",
            "fax_number": "201-455-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE NUTRITION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "GROBE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "908-510-1365",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "932870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.