LBJ Nutrition Corporation

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

855316 Issued in IL

Legal business name

LBJ NUTRITION CORPORATION

Practice address

147 Columbia Turnpike
Florham Park, NJ 07932

Phone

(973) 410-9700

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Abby J Blaustein, MS, RD

Title

Owner

Phone

(973) 722-5861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932123403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXETER LN",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606340",
            "telephone_number": "973-722-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TURNPIKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-410-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJ NUTRITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAUSTEIN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-722-5861",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "855316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Dominick Laudadio, M.D.
• Paul R. Lavella Jr., MA, LPC, LCADC, ACS
• Christina M Lavner, RD
• Latronia L Lawrence, BCBA
• Gary Layton, DDS
• LCS Florham Park LLC
• Jessica S Lee, DDS, MD
• Ariana Legregni
• David Leigh, PSY.D
• Gregory Joseph Leighton Jr., PHARM.D.

• Registered Dietitian in Florham Park, NJ
• Providers in Florham Park, 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 Aug 22, 2020; 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.