Michael J Carroll, MS, RDN
Dietitian, Registered in East Rutherford, New Jersey
1114485919- Practice location
- 276 Randolph Ave, East Rutherford, NJ 07073-1345
- Phone
- 201-739-5023
- Fax
- —
- Last updated
- August 20, 2019
Michael John Carroll is a Dietitian, Registered based in East Rutherford, NJ. Michael John Carroll practices in East Rutherford, NJ and has the professional credentials of MS, RDN. The NPI Number for Michael John Carroll is 1114485919 and holds a License No. 86101508 (NJ). The current practice location address for Michael John Carroll is 276 Randolph Ave, East Rutherford, NJ 07073-1345 and can be reached out via phone at 201-739-5023.
Provider Profile Details
- NPI Number
- 1114485919
- Provider Name
- Michael John Carroll
- Credential
- MS, RDN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 276 Randolph Ave, East Rutherford, NJ 07073-1345
- Phone Number
- 201-739-5023
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 11, 2019
- Last Update Date
- August 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 276 Randolph Ave
East Rutherford, NJ 07073-1345 - City
- East Rutherford
- State
- New Jersey
- Zip
- 07073-1345
- Phone Number
- 201-739-5023
Provider Business Mailing Address Details
- Address
- 276 Randolph Ave
East Rutherford, NJ 07073-1345 - City
- East Rutherford
- State
- NJ
- Zip
- 07073-1345
- Phone Number
- 201-739-5023
License Information
- License Number
- 86101508
- 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 East Rutherford, NJ
View all Dietitian, Registered providers in East Rutherford →Frequently Asked Questions
What is the NPI number of Michael J Carroll, MS, RDN?
The NPI number of Michael J Carroll, MS, RDN is 1114485919. It was assigned on March 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Michael J Carroll, MS, RDN?
Michael J Carroll, MS, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86101508.
Where does Michael J Carroll, MS, RDN practice?
The practice location is 276 Randolph Ave, East Rutherford, NJ 07073-1345. The office can be reached at 201-739-5023 (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 1114485919 directly on the NPPES registry website.