Individual provider Active NPI

G Sandra Byer-Lubin, MS, RD, CDE

  • Registered Dietitian
  • East Windsor, NJ
National Provider Identifier
1992832992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R596554 Issued in NJ
Practice address
59 One Mile Rd Ext
East Windsor, NJ 08520-2505
Phone
(609) 275-6237
NPI assigned
Feb 27, 2007
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 R596554 NJ Primary

Addresses

Primary practice location

59 One Mile Rd Ext
East Windsor, NJ 08520-2505

Mailing address

22 Highmont Drive
West Windsor, NJ 08550-3235
Phone (609) 275-6237

Other identifiers 2

IdentifierTypeStateIssuer
2143162OtherNJAETNA
P2095526OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R596554NJMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992832992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HIGHMONT DRIVE",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503235",
            "telephone_number": "609-275-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ONE MILE RD EXT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202505",
            "telephone_number": "609-275-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYER-LUBIN",
        "first_name": "G SANDRA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "R596554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2143162",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2095526",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.