Organization Active NPI

Well Balanced Nutrition, LLC

  • Medical Specialty Clinic/Center
  • East Brunswick, NJ
National Provider Identifier
1922545953
Registry record updated Jan 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
000637-1 Issued in NY
Legal business name
WELL BALANCED NUTRITION, LLC
Practice address
7 Gulf Rd
East Brunswick, NJ 08816-1362
Phone
(732) 672-1768
NPI assigned
Jan 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2017

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

Authorized official

Name
Mrs. Melanie BlatteisNPI 1699146571
Title
President
Phone
(732) 672-1768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 000637-1 NY Primary

Addresses

Primary practice location

7 Gulf Rd
East Brunswick, NJ 08816-1362

Mailing address

7 Gulf Rd
East Brunswick, NJ 08816-1362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1922545953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GULF RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GULF RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161362",
            "telephone_number": "732-672-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BALANCED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "BLATTEIS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-672-1768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "000637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.