GOCOPETRA CARE CONSULTANT LLC
NPI 1124122353
Dietitian, Registered - Nutrition, Metabolic in Newark, NJ

Active since September 08, 2006
170 NORWOOD ST, NEWARK, NJ 07106(201) 491-9972(973) 324-2218 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. COMFORT NWAMAKA EKUNNO-TABANSI

Authorized Official Title
REGISTERED DIETITIAN
Authorized Official Phone
(973) 731-7938

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
097991MEDICARE PIN (08)NJ 

Reviews for GOCOPETRA CARE CONSULTANT LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered (Nutrition, Metabolic)
170 NORWOOD ST
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.