Individual provider Active NPI

Lenore E. Clark, R.D.

  • Registered Dietitian
  • Toms River, NJ
National Provider Identifier
1922239094
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
129 Route 37 W
Suite 3
Toms River, NJ 08755-6435
Phone
(732) 822-7117
Fax
(732) 240-1304
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

129 Route 37 W
Suite 3
Toms River, NJ 08755-6435

Mailing address

315 Philadelphia Ave
Point Pleasant Beach, NJ 08742-3354
Phone (732) 822-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000236 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5294875746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1648 Bay Ave
Point Pleasant Boro, NJ 08742-4502
Phone (732) 822-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Nutrition Dietitian, Registered CurrentSince Oct 27, 2009 Accepting new patients

Locations

1648 Bay Ave
#2
Point Pleasant Boro, NJ 08742
Phone (732) 899-0701

1648 Bay Ave
Point Pleasant Boro, NJ 08742
Phone (732) 822-7117

129 Route 37 W
Ste 3
Toms River, NJ 08755
Phone (732) 797-3990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1922239094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PHILADELPHIA AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423354",
            "telephone_number": "732-822-7117",
            "fax_number": "732-240-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ROUTE 37 W",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556435",
            "telephone_number": "732-822-7117",
            "fax_number": "732-240-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LENORE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.

Verify at the official NPI Registry.