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LIFESTYLE NUTRITION
NPI 1770078107
Nutritionist - Nutrition, Education in Lincoln Park, NJ

Active since June 27, 2018
42 OAK ST, LINCOLN PARK, NJ 07035(845) 379-4616 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifestyle Nutrition NPPES

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

LIFESTYLE NUTRITION (NPI 1770078107) is a healthcare organization registered as a nutrition, education in Lincoln Park, New Jersey and active in the NPI registry since June 2018. The organization lists Jaclyn A Jacobsen, Nutritionist/owner, as its authorized official.

NPPES Registry Identity

NPI1770078107
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameLIFESTYLE NUTRITION
Location Address42 OAK STLincoln Park, NJ 07035-2434
Mailing Address42 Oak StLincoln Park, NJ 07035-2434
Phone(845) 379-4616
Organization SubpartNo
Authorized OfficialJaclyn A JacobsenNutritionist/owner · (845) 379-4616
Enumeration DateJune 27, 2018
✔ NPI 1770078107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
42 OAK ST, Lincoln Park, NJ 07035
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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

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 Lifestyle Nutrition's NPI number?

The NPI number for Lifestyle Nutrition is 1770078107. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Lifestyle Nutrition located?

Lifestyle Nutrition is located at 42 Oak St, Lincoln Park, NJ 07035. The listed phone number is (845) 379-4616.

What is Lifestyle Nutrition's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Lifestyle Nutrition was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.