Nutrition 101, Llc is a medicare enrolled "Dietitian, Registered" provider in Oakland, New Jersey. Their current practice location is
100 Bauer Dr, Oakland, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 651-1010.
Nutrition 101, Llc is licensed to practice in New Jersey (license number 912625) and it also participates in the medicare program. Nutrition 101, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609098821.
Healthcare Provider's Profile
Full Name | Nutrition 101, Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 100 Bauer Dr, Oakland, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609098821
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 08/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 0840336012
- Enrollment ID: O20091002000051
Medical Identifiers
Medical identifiers for Nutrition 101, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609098821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 912625 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nutrition 101, Llc acts as a billing entity for following providers:
Provider Name | Karen E Goldberg |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1316024003 PECOS PAC ID: 0042374712 Enrollment ID: I20090123000383 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nutrition 101, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nutrition 101, Llc 2 Baker St, Wayne, NJ 07470-4601 Ph: (973) 628-8118 | Nutrition 101, Llc 100 Bauer Dr, Oakland, NJ 07436-3105 Ph: (201) 651-1010 |
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