Susan C Canonico, RD
Dietitian, Registered in Berkeley Heights, New Jersey
1225024649- Practice location
- 1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104
- Phone
- 908-273-4300
- 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 - City
- Berkeley Heights
- State
- New Jersey
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
- Fax Number
- 908-277-8760
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Berkeley Heights, NJ
View all Dietitian, Registered providers in Berkeley Heights →- Gabriella Potievsky, RDNDietitian, Registered · NPI 1932656881
- Lindsay V Maurer, RDNDietitian, Registered · NPI 1497112718
- Margaret Eckler, RDDietitian, Registered · NPI 1073501532
- Meagan Butler, RDDietitian, Registered · NPI 1285884619
- Meagan Butler, RD LLCDietitian, Registered · NPI 1700587870
- Miss Alyssa Reyes, RDNDietitian, Registered · NPI 1881074979
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.