KTR Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KTR WELLNESS, LLC

Practice address

140 E Ridgewood Ave Ste 415
Paramus, NJ 07652-3915

Phone

(201) 720-1900

Fax

(201) 367-3779

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Deana Callaham, RDN

Title

Owner

Phone

(201) 500-7296

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KTR Wellness, LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deana Marie Rodriguez, RDN

  • Registered Dietitian
  • Paramus, NJ
  • NPI 1811461650
  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1982292249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 SEAGULL DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524944",
            "telephone_number": "201-960-9636",
            "fax_number": "201-608-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RIDGEWOOD AVE STE 415",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523915",
            "telephone_number": "201-720-1900",
            "fax_number": "201-367-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "CALLAHAM",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-500-7296",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANA CALLAHAM, RDN",
            "identifier": "1811461650",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://yourfoodnutritioncoach.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emr",
            "address_1": "700 Kinderkamack Rd",
            "city": "Oradell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076491533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KTR Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTR Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geri Kreiner-Litt, DDS
• Colleen N Krenn
• Stanislawa Krol
• Laurie Jeanne Krum, CRNFA, APN-C
• Halina Krupa, D.C.
• Kathryn Kubik, MSW, LSW
• Ana Kuburovic, PA-C
• Wendy L Kuczynski, RD, CNSD
• Robert J. Kuhn, D.D.S.
• Pajtesa Kukaj, MD

• Clinic/Center in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.