KG Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KG NUTRITION LLC

Practice address

48 Macon Dr
Hamilton, NJ 08619-1466

Phone

(908) 397-7335

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Kathleen Gaffney, RD

Title

Registered Dietitian

Phone

(908) 397-7335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1922712652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MACON DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191466",
            "telephone_number": "908-397-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MACON DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191466",
            "telephone_number": "908-397-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "908-397-7335",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86065046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Kelly, CADC-I
• Susan Kelvasa, P.T.
• Mary Ann Kennedy, LCSW
• Victoria Kerr
• Kevin Mosmen Enterprises, LLC
• Khalaf Rabadi, M.D., P.C.
• Raja Khan, MD
• Rizwan Khan, DO
• Abdul-Hady Kheder, MD
• Madiha Khurshid, M.D.

• Registered Dietitian in Hamilton, NJ
• Providers in Hamilton, 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 Jan 9, 2023; 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.