Active NPIOrganization

Therealisticdietitian LLC

Dietitian, Registered in Mullica Hill, New Jersey

NPI Number1053102426
Practice location
107 Willow Oaks Ln, Mullica Hill, NJ 08062-4535
Fax
—
Last updated
May 15, 2025

Therealisticdietitian LLC is a healthcare organization based in Mullica Hill, NJ. Therealisticdietitian LLC practices in Mullica Hill, NJ. The NPI Number for Therealisticdietitian LLC is 1053102426. The current practice location address for Therealisticdietitian LLC is 107 Willow Oaks Ln, Mullica Hill, NJ 08062-4535 and can be reached out via phone at 609-280-9353.

Provider Profile Details

NPI Number
1053102426
Provider Name
Therealisticdietitian LLC
Provider Entity Type
Organization
Address
107 Willow Oaks Ln, Mullica Hill, NJ 08062-4535
Phone Number
609-280-9353
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Sophia Ursino · Owner · 609-280-9353
Provider Enumeration Date
May 15, 2025
Last Update Date
May 15, 2025
Certification Date
May 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Willow Oaks Ln
Mullica Hill, NJ 08062-4535
Zip
08062-4535
Phone Number
609-280-9353
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
107 Willow Oaks Ln
Mullica Hill, NJ 08062-4535
City
Mullica Hill
State
NJ
Zip
08062-4535

License Information

Taxonomy
Dietitian, Registered · 133V00000X · 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 Therealisticdietitian LLC?

The NPI number of Therealisticdietitian LLC is 1053102426. It was assigned on May 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Therealisticdietitian LLC?

Therealisticdietitian LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Therealisticdietitian LLC practice?

The practice location is 107 Willow Oaks Ln, Mullica Hill, NJ 08062-4535. The office can be reached at 609-280-9353 (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 1053102426 directly on the NPPES registry website.

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