Nutrition Driven, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION DRIVEN, LLC

Practice address

246 W Madison Ave
Dumont, NJ 07628-3318

Phone

(201) 704-3877

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Hanna, MS, RDN, CDCES

Title

Registered Dietitian Nutritionist

Phone

(201) 704-3877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1922761485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W MADISON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283318",
            "telephone_number": "201-704-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W MADISON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283318",
            "telephone_number": "201-704-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Commerce Way",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016302",
            "country_code": "US",
            "telephone_number": "201-704-3877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION DRIVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "201-704-3877",
        "authorized_official_credential": "MS, RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Dumont, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.