Provider Demographics
NPI:1558097238
Name:NUTRITION CONSULTANTS OF NJ, LLC
Entity Type:Organization
Organization Name:NUTRITION CONSULTANTS OF NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:GOMES
Authorized Official - Last Name:SGHERZA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, MBA
Authorized Official - Phone:973-517-5903
Mailing Address - Street 1:8 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5573
Mailing Address - Country:US
Mailing Address - Phone:973-517-5903
Mailing Address - Fax:
Practice Address - Street 1:449 MAIN ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1818
Practice Address - Country:US
Practice Address - Phone:973-517-5903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty