JERSEY SHORE NUTRITION
NPI 1508195017
Dietitian, Registered in Toms River, NJ

Active since December 11, 2009
129 ROUTE 37 W, SUITE 3, TOMS RIVER, NJ 08755(732) 822-7117(732) 240-1304 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jersey Shore Nutrition NPPES

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

JERSEY SHORE NUTRITION (NPI 1508195017) is a healthcare organization registered as a dietitian, registered in Toms River, New Jersey and active in the NPI registry since December 2009. The organization lists Lenore E. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1508195017
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameJERSEY SHORE NUTRITION
Location Address129 ROUTE 37 W, SUITE 3Toms River, NJ 08755-6435
Mailing Address315 Philadelphia AvePoint Pleasant Beach, NJ 08742-3354 · (732) 822-7117 · Fax (732) 240-1304
Fax(732) 240-1304
Organization SubpartNo
Authorized OfficialLenore E. ClarkOwner · (732) 822-7117
Enumeration DateDecember 11, 2009
✔ NPI 1508195017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NJ · 701182
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
129 ROUTE 37 W, Toms River, NJ 08755

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)

Jersey Shore Nutrition 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 Jersey Shore Nutrition, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1922239094
129 ROUTE 37 W SUITE 3
Toms River, NJ 08755
(732) 822-7117
✔ Accepts MedicareSame address

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 Jersey Shore Nutrition's NPI number?

The NPI number for Jersey Shore Nutrition is 1508195017. It was assigned to this organization in the NPPES registry on December 11, 2009.

Where is Jersey Shore Nutrition located?

Jersey Shore Nutrition is located at 129 Route 37 W Suite 3, Toms River, NJ 08755. The listed phone number is (732) 822-7117.

What is Jersey Shore Nutrition's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jersey Shore Nutrition enrolled in Medicare?

Yes. Jersey Shore Nutrition is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jersey Shore Nutrition?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Jersey Shore Nutrition. 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 Jersey Shore Nutrition was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.