| Jersey Surgical Weight Control Center Llc | |
|
222 Schanck Rd Ste 200, Freehold, NJ 07728-2974 | |
| (800) 920-9928 | |
| (800) 615-9936 |
| Full Name | Jersey Surgical Weight Control Center Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
| Location | 222 Schanck Rd Ste 200, Freehold, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154930220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Primary |
| Provider Name | Michael Kammerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932350287 PECOS PAC ID: 8820232093 Enrollment ID: I20151015000274 |
| Provider Name | Nicole Giguere Mcmullen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245624147 PECOS PAC ID: 5496162083 Enrollment ID: I20210326001309 |
| Provider Name | Kristen L. Watts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912598509 PECOS PAC ID: 0941659643 Enrollment ID: I20231206002920 |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Surgical Weight Control Center Llc 222 Schanck Rd Ste 200, Freehold, NJ 07728-2974 Ph: (800) 920-9928 | Jersey Surgical Weight Control Center Llc 222 Schanck Rd Ste 200, Freehold, NJ 07728-2974 Ph: (800) 920-9928 |
Barbara J Giannone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W Main St Ste B, Freehold, NJ 07728 Phone: 732-294-2540 Fax: 732-294-9328 | |
Jessica Chin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4400 Us 9, Freehold, NJ 07728 Phone: 732-589-2547 | |
Melissa Ivanitski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Freehold, NJ 07728 Phone: 732-294-2766 | |
Theresa Risley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Schanck Rd Ste 200, Freehold, NJ 07728 Phone: 800-920-9928 Fax: 800-615-9936 | |
Jordyn Worby, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4400 Us 9, Freehold, NJ 07728 Phone: 908-421-9105 | |
Stephanie Caputo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3499 Rte 9 Ste 2c, Freehold, NJ 07728 Phone: 732-982-2888 Fax: 847-859-5885 |