NUTRICULTURES NUTRITION AND DIABETES CENTER LLC (NPI# 1194284844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194284844 |
| Entity Type | Organization |
| Organization Name | NUTRICULTURES NUTRITION AND DIABETES CENTER LLC |
| Other Organization Name | NUTRICULTURES |
| Practice Address |
274 S Orange Ave Fl 3 Newark NJ 07103-2419 |
| Mailing Address |
25 Clifton Ave Apt D804 Newark NJ 07104-1800 |
| Practice Telephone | 2012072158 |
| Mailing Telephone | 2012072158 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MERCY K EDZIAH (MANAGING MEMBER) |
| Authorized Official Telephone | 2012072158 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| NutriCultures | Doing Business As Name - Organization |
| NutriCultures | Other Name - Individual/Organization |
| Street Address |
274 S ORANGE AVE FL 3 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023119799 | Essex Valley Visiting Nurse Association | Home Health | 274 S Orange Ave Fl 3, Newark, NJ 07103-2419 | 2006-09-26 |
| 1881152510 | Mercy K. Edziah | Dietitian, Registered | 274 S Orange Ave Fl 3, Newark, NJ 07103-2419 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122353 | Gocopetra Care Consultant LLC | Dietitian, Registered | 170 Norwood St, Newark, NJ 07106-2627 | 2006-09-08 |
| 1306968938 | Comfort N Ekunno-tabansi | Dietitian, Registered | 170 Norwood St, Newark, NJ 07106-2627 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851895395 | Narissa Medina | Dietitian, Registered | 610 Sewall Ave Apt 10s, Asbury Park, NJ 07712-6549 | 2018-03-20 |
| 1336681592 | Rachna Singh | Dietitian, Registered | 203 Harvest Ln, Monmouth Junction, NJ 08852-1908 | 2016-11-04 |
| 1497154116 | Francesca Maria Miller | Dietitian, Registered | 38 Cedar Island Dr, Brick, NJ 08723-7575 | 2014-08-19 |
| 1205196755 | Blanche Keir | Dietitian, Registered | 111 Lansdowne Ave, Haddonfield, NJ 08033-2735 | 2012-05-17 |
| 1114221363 | Health Dynamics LLC | Dietitian, Registered | 37 Stiles Ave, Morris Plains, NJ 07950-1816 | 2011-01-03 |
| 1154585743 | Peta Cohen | Dietitian, Registered | 11 N Dean St, 2nd Floor, Englewood, NJ 07631-2804 | 2008-07-14 |
| 1992829667 | Angela J. Langner | Dietitian, Registered | 25 Zabriskie St, 2b, Hackensack, NJ 07601-4911 | 2007-03-19 |
| 1457499030 | Linda L Lee | Dietitian, Registered | 2209 Conrad Way, Somerset, NJ 08873-6099 | 2007-02-03 |
| 1588727218 | Bindu Jenveja | Dietitian, Registered | 83 Pettit Pl, Princeton, NJ 08540-7645 | 2006-12-17 |
| 1821150640 | Maureen Kachinski | Dietitian, Registered | 58 Thornbrooke Dr, Shrewsbury, NJ 07702-4348 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
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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.