Tida P Coralluzzo, RD
Dietitian, Registered in Livingston, New Jersey
1073456422- Practice location
- 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930
- Phone
- 917-837-0598
- Fax
- 973-740-8932
- Last updated
- April 10, 2026
Tida Pradith Coralluzzo is a Dietitian, Registered based in Livingston, NJ. Tida Pradith Coralluzzo practices in Livingston, NJ and has the professional credentials of RD. The NPI Number for Tida Pradith Coralluzzo is 1073456422 and holds a License No. 86010561 (NJ). The current practice location address for Tida Pradith Coralluzzo is 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930 and can be reached out via phone at 917-837-0598 and via fax at 973-740-8932.
Provider Profile Details
- NPI Number
- 1073456422
- Provider Name
- Tida Pradith Coralluzzo
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930
- Phone Number
- 917-837-0598
- Fax Number
- 973-740-8932
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- Tida Pradith, RD (Former Name)
- Provider Enumeration Date
- April 10, 2026
- Last Update Date
- April 10, 2026
- Certification Date
- April 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-2930
- Phone Number
- 917-837-0598
- Fax Number
- 973-740-8932
Provider Business Mailing Address Details
- Address
- 66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930 - City
- Livingston
- State
- NJ
- Zip
- 07039-2930
- Phone Number
- 917-837-0598
- Fax Number
- 973-740-8932
License Information
- License Number
- 86010561
- License State
- NJ
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Livingston, NJ
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- Alexa Bacino, RD, CDEDietitian, Registered · NPI 1922671452
- Christina Alfonso, RDDietitian, Registered · NPI 1811937170
- Ellen Paterson, RDNDietitian, Registered · NPI 1447751656
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Frequently Asked Questions
What is the NPI number of Tida P Coralluzzo, RD?
The NPI number of Tida P Coralluzzo, RD is 1073456422. It was assigned on April 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Tida P Coralluzzo, RD?
Tida P Coralluzzo, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86010561.
Where does Tida P Coralluzzo, RD practice?
The practice location is 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930. The office can be reached at 917-837-0598 (phone) or 973-740-8932 (fax).
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 1073456422 directly on the NPPES registry website.