GOCOPETRA CARE CONSULTANT LLC
NPI 1124122353
Dietitian, Registered - Nutrition, Metabolic in Newark, NJ
- Organization
- Dietitian, Registered
- Nutrition, Metabolic
About GOCOPETRA CARE CONSULTANT LLC
This page provides the complete NPI Profile along with additional information for Gocopetra Care Consultant Llc, a provider established in Newark, New Jersey operating as a Dietitian, Registered, focusing in nutrition, metabolic . The healthcare provider is registered in the NPI registry with number 1124122353 assigned on September 2006. The practitioner's primary taxonomy code is 133VN1006X with license number 927499 (IL). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Comfort Nwamaka Ekunno-tabansi (Registered Dietitian)
- NPI
- 1124122353 Verify this NPI
- Provider Name
- GOCOPETRA CARE CONSULTANT LLC
- Entity Type
- Organization
- Location Address
- 170 NORWOOD ST NEWARK, NJ 07106
- Location Phone
- (201) 491-9972
- Location Fax
- (973) 324-2218
- Mailing Address
- 540 HILLSIDE TER WEST ORANGE, NJ 07052
- Mailing Phone
- (973) 731-7938
- Mailing Fax
- (973) 324-2218
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 11-20-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Metabolic
- Taxonomy Code
- 133VN1006X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 927499
- License State
- IL
- Taxonomy Description
- A registered dietitian who achieves specialized competency in metabolic nutrition.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 097991 | MEDICARE PIN (08) | NJ |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
NEWARK, NJ 07106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124122353, enumerated as an "organization" on September 08, 2006.
The provider is located at 170 NORWOOD ST NEWARK, NJ 07106 and the phone number is (201) 491-9972.
Dietitian, Registered with taxonomy code 133VN1006X and a focus in Nutrition, Metabolic.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.