Nikita George, A.A.S., B.SC.

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

145 Wyckoff Rd Ste 102
Eatontown, NJ 07724-1879

Phone

(848) 208-2721

Fax

(848) 208-2506

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

Practice roles

Locations

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.

• Healing Star Physical Therapy and Wellness LLC

  • Specialist
  • Eatontown, NJ
  • NPI 1598011207
  NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1912560962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CARMEL WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242551",
            "telephone_number": "732-544-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WYCKOFF RD STE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241879",
            "telephone_number": "848-208-2721",
            "fax_number": "848-208-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NIKITA",
        "name_prefix": "Mrs.",
        "credential": "A.A.S., B.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healingstarptw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Individual to Business Contact",
            "address_1": "145 Wyckoff Rd Ste 102",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077241879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Garden State Spine and Pain Institute LLC
• Gateway Care Center, LLC
• Meaghan Rose Gavan, PA-C
• Heather D Gebhardt, LPC
• Jules M Geltzeiler, MD
• Steven George
• Ryan Gervasi, LCSW, RYT
• Amira S Ghaly, PMHNP
• Mohamed Gharib
• Gagandeep Gill, D.C.

• Nutritionist in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.