Active NPI
Lori Kolodin, MS,RD
- Registered Dietitian
- Warren, NJ
National Provider Identifier
1902961659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NJ11485586
- Practice address
- 6 Schindelar Woods Way
Warren, NJ 07059-6851 - Phone
- (908) 403-7636
- NPI assigned
- Dec 23, 2006
- 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 | NJ11485586 | NJ | Primary |
Addresses
Primary practice location
6 Schindelar Woods Way
Warren, NJ 07059-6851
Mailing address
6 Schindelar Woods Way
Warren, NJ 07059-6851
Phone (908) 403-7636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3624515 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080402000111 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 6608953666 | Practice locations: Warren, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 Schindelar Woods Way
Warren, NJ 07059-6851
Phone (908) 403-7636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ11485586 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1902961659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SCHINDELAR WOODS WAY",
"city": "WARREN",
"state": "NJ",
"postal_code": "070596851",
"telephone_number": "908-403-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SCHINDELAR WOODS WAY",
"city": "WARREN",
"state": "NJ",
"postal_code": "070596851",
"telephone_number": "908-403-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODIN",
"first_name": "LORI",
"credential": "MS,RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-23",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "NJ11485586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3624515",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.