Active NPIIndividual provider

Susan C Canonico, RD

Dietitian, Registered in Berkeley Heights, New Jersey

NPI Number1225024649
Practice location
1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104
Fax
908-277-8760
Last updated
March 27, 2008

Susan C Canonico is a Dietitian, Registered based in Berkeley Heights, NJ. Susan C Canonico practices in Berkeley Heights, NJ and has the professional credentials of RD. The NPI Number for Susan C Canonico is 1225024649 and holds a License No. 865045 (NJ). The current practice location address for Susan C Canonico is 1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104 and can be reached out via phone at 908-273-4300 and via fax at 908-277-8760.

Provider Profile Details

NPI Number
1225024649
Provider Name
Susan C Canonico
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104
Phone Number
908-273-4300
Fax Number
908-277-8760
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2005
Last Update Date
March 27, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Diamond Hill RD
Summit Medical Group
Berkeley Heights, NJ 07922-2104
Zip
07922-2104
Phone Number
908-273-4300
Fax Number
908-277-8760
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Summit Medical Group
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300
Fax Number
908-277-8760

License Information

License Number
865045
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 Susan C Canonico, RD?

The NPI number of Susan C Canonico, RD is 1225024649. It was assigned on September 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Susan C Canonico, RD?

Susan C Canonico, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 865045.

Where does Susan C Canonico, RD practice?

The practice location is 1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104. The office can be reached at 908-273-4300 (phone) or 908-277-8760 (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 1225024649 directly on the NPPES registry website.

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