Active NPI
Lenore E. Clark, R.D.
- Registered Dietitian
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Shore Nutrition | Dietitian, Registered | Current | 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.