Active NPI
Ryan Whitcomb, RD
- Registered Dietitian
- Jersey City, NJ
National Provider Identifier
1922484492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1073431
- Practice address
- 123 Town Square PL Ste 517
Jersey City, NJ 07310-1756 - Phone
- (866) 321-2035
- Fax
- (888) 506-7860
- NPI assigned
- Aug 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 1073431 | Primary |
Addresses
Primary practice location
123 Town Square PL Ste 517
Jersey City, NJ 07310-1756
Mailing address
123 Town Square PL Ste 517
Jersey City, NJ 07310-1756
Phone (201) 335-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1922484492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 TOWN SQUARE PL STE 517",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101756",
"telephone_number": "201-335-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 TOWN SQUARE PL STE 517",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101756",
"telephone_number": "866-321-2035",
"fax_number": "888-506-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1073431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.