The Simple Dietitian LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE SIMPLE DIETITIAN LLC

Practice address

2 University Plaza
Suite 100
Hackensack, NJ 07601

Phone

(201) 744-7749

Fax

(201) 742-6304

NPI assigned

Jul 1, 2019

Last updated

Aug 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynette Marlene Hem-Lee, RDNNPI 1326519133

Title

Owner

Phone

(201) 744-7749

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynette Marlene Hem-Lee, RDN

  • Registered Dietitian
  • Hackensack, NJ
  • NPI 1326519133
  Authorized official Same address or phone

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1912569831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTH ST STE 100",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661633",
            "telephone_number": "917-982-8519",
            "fax_number": "201-742-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLAZA",
            "address_2": "SUITE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-744-7749",
            "fax_number": "201-742-6304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 North St",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076661633",
            "country_code": "US",
            "telephone_number": "201-744-7749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SIMPLE DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "HEM-LEE",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-744-7749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Hackensack, NJ
• Providers in Hackensack, 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 Aug 10, 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.