NUTRICULTURES
NPI 1194284844
Dietitian, Registered - Nutrition, Metabolic in Montclair, NJ

Active since March 12, 2019
292 BLOOMFIELD AVE FL 2, MONTCLAIR, NJ 07042(201) 207-2158 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2024, May 22, 2023, Sep 29, 2021 and 3 more (6 updates tracked since 2019).

About Nutricultures NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRICULTURES (NPI 1194284844) is a healthcare organization registered as a nutrition, metabolic in Montclair, New Jersey and active in the NPI registry since March 2019. The organization lists Mercy K Edziah, Owner/consultant, as its authorized official.

NPPES Registry Identity

NPI1194284844
Entity TypeOrganization
Primary Taxonomy133VN1006X
Legal Business NameNUTRICULTURES NUTRITION AND DIABETES CENTER LLC
Location Address292 BLOOMFIELD AVE FL 2Montclair, NJ 07042-3624
Mailing Address292 Bloomfield Ave Fl 2Montclair, NJ 07042-3624 · (201) 207-2158 · Fax (201) 604-4639
Organization SubpartNo
Authorized OfficialMercy K EdziahOwner/consultant · (201) 207-2158
Enumeration DateMarch 12, 2019
Last NPPES UpdateSeptember 30, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1194284844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
292 BLOOMFIELD AVE FL 2, Montclair, NJ 07042

Other Names 1

Doing Business AsNutricultures

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nutricultures is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nutricultures, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1881152510
654 MOUNT PROSPECT AVE STE 302
Newark, NJ 07104
(201) 207-2158
✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutricultures Nutrition And Diabetes Center LLC's NPI number?

The NPI number for Nutricultures Nutrition And Diabetes Center LLC is 1194284844. It was assigned to this organization in the NPPES registry on March 12, 2019. The provider is doing business as Nutricultures.

Where is Nutricultures Nutrition And Diabetes Center LLC located?

Nutricultures Nutrition And Diabetes Center LLC is located at 292 Bloomfield Ave Fl 2, Montclair, NJ 07042. The listed phone number is (201) 207-2158.

What is Nutricultures Nutrition And Diabetes Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Nutricultures Nutrition And Diabetes Center LLC enrolled in Medicare?

Yes. Nutricultures Nutrition And Diabetes Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutricultures Nutrition And Diabetes Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Nutricultures Nutrition And Diabetes Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutricultures Nutrition And Diabetes Center LLC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.