Individual provider Active NPI

Kanan Yatin Thakore, RD,CNSD

  • Registered Dietitian
  • East Brunswick, NJ
National Provider Identifier
1932237500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
700931 Issued in IL
Practice address
11 Rues LN
East Brunswick, NJ 08816-3859
Phone
(732) 651-8538
Fax
(718) 304-1177
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 700931 IL Primary

Addresses

Primary practice location

11 Rues LN
East Brunswick, NJ 08816-3859

Mailing address

11 Rues LN
East Brunswick, NJ 08816-3859
Phone (732) 651-8538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000833 NJ Practitioner - Registered Dietitian Or Nutrition Professional 2769700145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
98.39
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
700931ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Piscataway Healthcare PC CurrentSince Feb 15, 2019 Accepting new patients
Manalapan Medical Center PA PC CurrentSince Dec 23, 2014 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

760 Bound Brook Rd
Dunellen, NJ 08812
Phone (732) 397-1474

200 Craig Rd
Ste 202
Manalapan, NJ 07726
Phone (732) 845-2200

345 US Highway 9
Ste 9
Manalapan, NJ 07726
Phone (732) 390-6666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22407/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932237500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163859",
            "telephone_number": "732-651-8538",
            "fax_number": "718-304-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163859",
            "telephone_number": "732-651-8538",
            "fax_number": "718-304-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKORE",
        "first_name": "KANAN",
        "middle_name": "YATIN",
        "name_prefix": "Ms.",
        "credential": "RD,CNSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "700931",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.