BENJAMIN FREDERICK BEIDEMAN — NPI 1356706972 (Licensed & Credentialed Nutritionist in FORKED RIVER, NJ)

CMS-1500 Box 24J / 33a • NPI

1356706972

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133N00000X

Licensed & Credentialed Nutritionist

Box 32 Service Location & ZIP+4

610 LACEY RD UNIT 749, FORKED RIVER, NJ, 08731-8037

✓ 9-Digit EDI 837 ZIP+4 (08731-8037)

Practice Phone & Referral Fax

(732) 930-1820

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356706972 (BENJAMIN FREDERICK BEIDEMAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356706972` (NPI-1 Individual Practitioner)
Provider / Legal Name	BENJAMIN FREDERICK BEIDEMAN
Plain-English Specialty	Licensed & Credentialed Nutritionist NUCC Code: `133N00000X` (Nutritionist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	610 LACEY RD UNIT 749, FORKED RIVER, NJ, 08731-8037
Practice Telephone / Fax	Tel: (732) 930-1820
Administrative Mailing Address	610 LACEY RD UNIT 749, FORKED RIVER, NJ, 08731-8037
Enumeration & Last Sync	Enumerated: 2015-12-26 \| CMS Record Updated: 2020-10-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

610 LACEY RD UNIT 749, FORKED RIVER, NJ, 08731-8037

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Plain-English Taxonomy & CMS Crosswalk (133N00000X)

What Does Taxonomy Code 133N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133N00000X translates to:
"Licensed & Credentialed Nutritionist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nutritionist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BENJAMIN FREDERICK BEIDEMAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133NN1002X` — Nutritionist, Nutrition, Education Plain English: Licensed & Credentialed Nutritionist, Nutrition, Education	State: NJ \| License: `Not Required` \| Primary: Secondary
`133N00000X` — Nutritionist Plain English: Licensed & Credentialed Nutritionist	State: NJ \| License: `Not Required` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BENJAMIN FREDERICK BEIDEMAN (NPI #1356706972)