Active NPIIndividual providerSole proprietor

Diane Fortino, RD

Dietitian, Registered in Ridgewood, New Jersey

NPI Number1225410806
Practice location
240 E Glen Ave, Ridgewood, NJ 07450-1736
Fax
—
Last updated
June 19, 2015

Diane Fortino is a Dietitian, Registered based in Ridgewood, NJ. Diane Fortino practices in Ridgewood, NJ and has the professional credentials of RD. The NPI Number for Diane Fortino is 1225410806 and holds a License No. 634184 (NY). The current practice location address for Diane Fortino is 240 E Glen Ave, Ridgewood, NJ 07450-1736 and can be reached out via phone at 201-214-9253.

Provider Profile Details

NPI Number
1225410806
Provider Name
Diane Fortino
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
240 E Glen Ave, Ridgewood, NJ 07450-1736
Phone Number
201-214-9253
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2015
Last Update Date
June 19, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 E Glen Ave
Ridgewood, NJ 07450-1736
Zip
07450-1736
Phone Number
201-214-9253
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
240 E Glen Ave
Ridgewood, NJ 07450-1736
City
Ridgewood
State
NJ
Zip
07450-1736
Phone Number
201-214-9253

License Information

License Number
634184
License State
NY
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 Diane Fortino, RD?

The NPI number of Diane Fortino, RD is 1225410806. It was assigned on June 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Diane Fortino, RD?

Diane Fortino, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 634184.

Where does Diane Fortino, RD practice?

The practice location is 240 E Glen Ave, Ridgewood, NJ 07450-1736. The office can be reached at 201-214-9253 (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 1225410806 directly on the NPPES registry website.

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