Active NPIIndividual providerSole proprietor

Marina Shereshevsky, CN

Nutritionist in Mountain Lakes, New Jersey

NPI Number1356766521
Practice location
140 Boulevard, Mountain Lakes, NJ 07046-1201
Fax
—
Last updated
February 25, 2014

Marina Shereshevsky is a Nutritionist based in Mountain Lakes, NJ. Marina Shereshevsky practices in Mountain Lakes, NJ and has the professional credentials of CN. The NPI Number for Marina Shereshevsky is 1356766521 and holds a License No. 64083102. The current practice location address for Marina Shereshevsky is 140 Boulevard, Mountain Lakes, NJ 07046-1201 and can be reached out via phone at 973-216-0864.

Provider Profile Details

NPI Number
1356766521
Provider Name
Marina Shereshevsky
Credential
CN
Provider Entity Type
Individual
Gender
Female
Address
140 Boulevard, Mountain Lakes, NJ 07046-1201
Phone Number
973-216-0864
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2014
Last Update Date
February 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Boulevard
Mountain Lakes, NJ 07046-1201
Zip
07046-1201
Phone Number
973-216-0864
Mountain Lakes, NJ 07046Get directions →

Provider Business Mailing Address Details

Address
140 Boulevard
Mountain Lakes, NJ 07046-1201
City
Mountain Lakes
State
NJ
Zip
07046-1201
Phone Number
973-216-0864

License Information

License Number
64083102
Taxonomy
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nutritionists near Mountain Lakes, NJ

View all Nutritionists in Mountain Lakes →

Frequently Asked Questions

What is the NPI number of Marina Shereshevsky, CN?

The NPI number of Marina Shereshevsky, CN is 1356766521. It was assigned on February 25, 2014 and is currently active in the NPPES registry.

What is the specialty of Marina Shereshevsky, CN?

Marina Shereshevsky, CN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed under license number 64083102.

Where does Marina Shereshevsky, CN practice?

The practice location is 140 Boulevard, Mountain Lakes, NJ 07046-1201. The office can be reached at 973-216-0864 (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 1356766521 directly on the NPPES registry website.

Browse related providers