NPIMap

Organization Active NPI

Revival Skills

  • Nutritionist
  • Haddon Township, NJ
National Provider Identifier
1962278721
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
REVIVAL SKILLS
Practice address
411 Maple Aveune
Haddon Township, NJ 08108
Phone
(973) 459-1978
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Morgan Quinn, NUTRITIONISTNPI 1073389060
Title
Founder, Holistic Nutritionist
Phone
(973) 459-1978

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

411 Maple Aveune
Haddon Township, NJ 08108

Mailing address

411 Maple Aveune
Haddon Township, NJ 08108
Phone (973) 459-1978

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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1962278721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAPLE AVEUNE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "973-459-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAPLE AVEUNE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "973-459-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "FOUNDER, HOLISTIC NUTRITIONIST",
        "authorized_official_telephone_number": "973-459-1978",
        "authorized_official_credential": "NUTRITIONIST"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.