OrganizationActive
Jersey Surgical Weight Control Center LLC
NPI 1154930220 · Obesity and Weight Management Nutrition Registered Dietitian · Freehold, NJ
Provider details
- NPI number
- 1154930220
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Liliya Prokurat, Manager of Operations(800) 920-9928
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
222 Schanck Rd Ste 200
Freehold, NJ 07728-2974
Phone: (800) 920-9928
Fax: (800) 615-9936
Approximate (ZIP-level) locationGet directions
Mailing address
222 Schanck Rd Ste 200
Freehold, NJ 07728-2974
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.