MS. KAREN S. BASEDOW (NPI# 1013223650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013223650 |
| Entity Type | Individual |
| Full Name | MS. KAREN S. BASEDOW |
| Credential | RD |
| Practice Address |
166 Lyons Ave Newark NJ 07112 |
| Mailing Address |
314 Western Drive North South Orange NJ 07079 |
| Practice Telephone | 9739263312 |
| Mailing Telephone | 9735680126 |
| Mailing Fax Number | 9733874849 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 724127 | Dietary & Nutritional Service Providers |
| Street Address |
166 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521225 | Nbimc Family Health Center | Obstetrics & Gynecology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-05-03 |
| 1407310329 | University Health Professions | Physician Assistant | 166 Lyons Ave, Newark, NJ 07112-2016 | 2019-01-24 |
| 1114441102 | Joshua D Oderanti | Nurse Practitioner | 166 Lyons Ave, Newark, NJ 07112-2016 | 2017-08-01 |
| 1902340953 | Navya Kuchipudi | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112 | 2016-12-10 |
| 1891181525 | Angie Buttigieg | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-04-09 |
| 1033503057 | Sarah Stites | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-03-27 |
| 1609012525 | Nudrat F Ayub Md LLC | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-12-23 |
| 1447405253 | Newark Beth Israel Medical Center Inc | Psychologist | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-11-20 |
| 1962524975 | Khalid Zuhayr Tabbarah | Psychiatry & Neurology | 166 Lyons Ave, Fhc/ground Floor, Newark, NJ 07112-2016 | 2007-04-03 |
| 1942346820 | Beth Faye Coplan | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659032 | Catherine A Vroome | Dietitian, Registered | 351 George Williams Way, Newark, DE 19702-3518 | 2020-01-29 |
| 1043853310 | Deborah E Smith | Dietitian, Registered | 16 Lamatan Rd, Newark, DE 19711-2316 | 2019-10-19 |
| 1801360227 | Kara Feeney | Dietitian, Registered | 1109 Valley Stream Dr, Newark, DE 19702-2915 | 2019-01-18 |
| 1891298618 | The Brazilian Dietitian, LLC | Dietitian, Registered | 361 Lafayette St, Newark, NJ 07105-2723 | 2018-03-18 |
| 1669994208 | Natalie Mckenney | Dietitian, Registered | 917 Nottingham Rd, Newark, DE 19711-7410 | 2017-07-15 |
| 1588109102 | Renee Currie | Dietitian, Registered | 132 Fairmount Ave # Level1, Newark, NJ 07103-2433 | 2017-01-05 |
| 1619294659 | Nadine Grant | Dietitian, Registered | 120 Oak St, Newark, NJ 07106-1204 | 2010-04-30 |
| 1801118328 | Kimberly L B Fisher | Dietitian, Registered | 438 Grace Ave, Newark, NY 14513 | 2010-02-25 |
| 1891930905 | St. Francis Healthcare Services | Dietitian, Registered | 537 Stanton-christiana Road, Apex Medical Center Suite 103, Newark, DE 19713-2145 | 2008-12-04 |
| 1265614911 | Mavis Camalita Faulknor | Dietitian, Registered | 78 Kenmore Ave, Newark, NJ 07106-1026 | 2007-12-04 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.