Active NPIIndividual providerSole proprietor

Mr. Benjamin F Beideman

Nutritionist in Forked River, New Jersey

NPI Number1356706972
Practice location
610 Lacey RD Unit 749, Forked River, NJ 08731-8037
Fax
—
Last updated
October 27, 2020

Benjamin Frederick Beideman is a Nutritionist based in Forked River, NJ. Benjamin Frederick Beideman practices in Forked River, NJ. The NPI Number for Benjamin Frederick Beideman is 1356706972 and holds a License No. Not Required (NJ). The current practice location address for Benjamin Frederick Beideman is 610 Lacey RD Unit 749, Forked River, NJ 08731-8037 and can be reached out via phone at 732-930-1820.

Provider Profile Details

NPI Number
1356706972
Provider Name
Benjamin Frederick Beideman
Provider Entity Type
Individual
Gender
Male
Address
610 Lacey RD Unit 749, Forked River, NJ 08731-8037
Phone Number
732-930-1820
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2015
Last Update Date
October 27, 2020
Certification Date
October 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Lacey RD Unit 749
Forked River, NJ 08731-8037
Zip
08731-8037
Phone Number
732-930-1820
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
610 Lacey RD Unit 749
Forked River, NJ 08731-8037
City
Forked River
State
NJ
Zip
08731-8037
Phone Number
732-930-1820

License Information

License Number (1)
Not Required
License State (1)
NJ
Taxonomy (1)
Nutritionist, Nutrition, Education · 133NN1002X
License Number (2)
Not Required
License State (2)
NJ
Taxonomy (2)
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Benjamin F Beideman?

The NPI number of Mr. Benjamin F Beideman is 1356706972. It was assigned on December 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Benjamin F Beideman?

Mr. Benjamin F Beideman is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in NJ under license number Not Required.

Where does Mr. Benjamin F Beideman practice?

The practice location is 610 Lacey RD Unit 749, Forked River, NJ 08731-8037. The office can be reached at 732-930-1820 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356706972 directly on the NPPES registry website.

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