JERSEY SURGICAL WEIGHT CONTROL CENTER LLC NPI 1154930220

NPI Information

  • NPI: 1154930220
  • Provider Name: JERSEY SURGICAL WEIGHT CONTROL CENTER LLC
  • Classification: Dietitian, Registered - 133VN1201X
  • Specialization: Nutrition, Obesity and Weight Management
  • Entity Type: Organization
  • Address: 222 SCHANCK RD STE 200
    FREEHOLD, NJ
    ZIP 07728
  • Phone: (800) 920-9928

Map and Directions

Get Directions

NPI Details

JERSEY SURGICAL WEIGHT CONTROL CENTER LLC is a nutrition and obesity and weight management dietitian registered in Freehold, NJ. The provider is an individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions. JERSEY SURGICAL WEIGHT CONTROL CENTER LLC NPI is 1154930220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

222 SCHANCK RD STE 200
FREEHOLD, NJ
ZIP 07728-974
Phone: (800) 920-9928
Fax: (800) 615-9936

The provider's authorized official is Liliya Prokurat .
The authorized official title is Office Manager and has the following contact phone number (718) 304-3436.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 8/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI