Active NPIIndividual providerSole proprietor

Susana L Mendelson, RD, CDE

Dietitian, Registered in Hoboken, New Jersey

NPI Number1164510657
Practice location
330 Grand St, Suite 100, Hoboken, NJ 07030-2728
Fax
973-696-2433
Last updated
February 23, 2011

Susana L Mendelson is a Dietitian, Registered based in Hoboken, NJ. Susana L Mendelson practices in Hoboken, NJ and has the professional credentials of RD, CDE. The NPI Number for Susana L Mendelson is 1164510657 and holds a License No. 871383 (NJ). The current practice location address for Susana L Mendelson is 330 Grand St, Suite 100, Hoboken, NJ 07030-2728 and can be reached out via phone at 201-637-2631 and via fax at 973-696-2433.

Provider Profile Details

NPI Number
1164510657
Provider Name
Susana L Mendelson
Credential
RD, CDE
Provider Entity Type
Individual
Gender
Female
Address
330 Grand St, Suite 100, Hoboken, NJ 07030-2728
Phone Number
201-637-2631
Fax Number
973-696-2433
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2006
Last Update Date
February 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Grand St
Suite 100
Hoboken, NJ 07030-2728
Zip
07030-2728
Phone Number
201-637-2631
Fax Number
973-696-2433
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
Po Box 413
Lincoln Park, NJ 07035-0413
City
Lincoln Park
State
NJ
Zip
07035-0413
Phone Number
201-637-2631
Fax Number
973-696-2433

License Information

License Number
871383
License State
NJ
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 Susana L Mendelson, RD, CDE?

The NPI number of Susana L Mendelson, RD, CDE is 1164510657. It was assigned on October 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Susana L Mendelson, RD, CDE?

Susana L Mendelson, RD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 871383.

Where does Susana L Mendelson, RD, CDE practice?

The practice location is 330 Grand St, Suite 100, Hoboken, NJ 07030-2728. The office can be reached at 201-637-2631 (phone) or 973-696-2433 (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 1164510657 directly on the NPPES registry website.

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