NUTRASOURCE, RD LLC (NPI# 1861927626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861927626 |
| Entity Type | Organization |
| Organization Name | NUTRASOURCE, RD LLC |
| Practice Address |
2679 Highway 70 Ste 1a Manasquan NJ 08736-2706 |
| Mailing Address |
121 Mountain View Dr Lakewood NJ 08701-5857 |
| Practice Telephone | 3473248757 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | CHAYA SOKOL (CEO) |
| Authorized Official Telephone | 7185106776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283X00000X | Rehabilitation Hospital | Hospitals | ||
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Mountain View Dr, Lakewood, NJ 087015857 | 7185106776 |
| Street Address |
2679 HIGHWAY 70 STE 1A |
| City | MANASQUAN |
| State | NJ |
| Zip Code | 08736-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871068726 | Primary Care Providers, LLC | Nurse Practitioner | 2640 Hwy 70, Bldg.5 Suite 102b, Manasquan, NJ 08736 | 2018-10-08 |
| 1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
| 1639661887 | Savvymed | Durable Medical Equipment & Medical Supplies | 2517 Highway 35 Ste 103, Manasquan, NJ 08736 | 2018-06-04 |
| 1396241618 | Vicki Curran | Counselor | 147 Union Lane, Suite 202, Manasquan, NJ 08736 | 2018-04-04 |
| 1700304086 | Michael Joseph Panella | Psychologist | 2414 Route 34, Suite 103, Manasquan, NJ 08736 | 2017-09-06 |
| 1720513153 | Michael P Keenan | Health Educator | 93 Atlantic Ave, Manasquan, NJ 08736 | 2017-04-24 |
| 1285069245 | Victoria Helen Tancsak | Counselor | 200 Atlantic Ave Suite G, Manasquan, NJ 08736 | 2013-09-10 |
| 1427497841 | Sushma Patel | Optometrist | 2516 Highway 35 Ste 104, Manasquan, NJ 08736 | 2013-06-19 |
| 1972852523 | Adam Wesley Thomas | Counselor | 2519 Route 35 South, #m203, Manasquan, NJ 08736 | 2012-08-29 |
| 1710259635 | George Francis Larkin I | Dentist | 2517 St. Hwy. 35, Bldg. G Suite202, Manasquan, NJ 08736 | 2012-02-08 |
| Find all providers in zip 08736 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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| 1720696222 | Csh Mount Laurel Licensee, LLC | Assisted Living Facility | 785 Centerton Rd, Mount Laurel, NJ 08054-1607 | 2020-07-21 |
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1376176636 | Fsp-waldwick Property, LLC | Assisted Living Facility | 245 Wyckoff Ave, Waldwick, NJ 07463-1225 | 2020-02-14 |
| 1417589763 | Shp Vi Mountainside LLC | Assisted Living Facility | 1050 Springfield Ave, Mountainside, NJ 07092-2905 | 2020-02-05 |
| 1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
| 1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
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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.