Active NPIIndividual providerSole proprietor

Samantha Sullivan, RD, CDN

Dietitian, Registered in Weehawken, New Jersey

NPI Number1376402115
Practice location
1575 Harbor Blvd Apt 3305, Weehawken, NJ 07086-6663
Fax
—
Last updated
September 23, 2026

Samantha Sullivan is a Dietitian, Registered based in Weehawken, NJ. Samantha Sullivan practices in Weehawken, NJ and has the professional credentials of RD, CDN. The NPI Number for Samantha Sullivan is 1376402115. The current practice location address for Samantha Sullivan is 1575 Harbor Blvd Apt 3305, Weehawken, NJ 07086-6663 and can be reached out via phone at 516-949-6269.

Provider Profile Details

NPI Number
1376402115
Provider Name
Samantha Sullivan
Credential
RD, CDN
Provider Entity Type
Individual
Gender
Female
Address
1575 Harbor Blvd Apt 3305, Weehawken, NJ 07086-6663
Phone Number
516-949-6269
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
Samantha Shapiro, RD, CDN (Former Name)
Provider Enumeration Date
January 19, 2026
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1575 Harbor Blvd Apt 3305
Weehawken, NJ 07086-6663
Zip
07086-6663
Phone Number
516-949-6269
Weehawken, NJ 07086Get directions →

Provider Business Mailing Address Details

Address
1575 Harbor Blvd Apt 3305
Weehawken, NJ 07086-6663
City
Weehawken
State
NJ
Zip
07086-6663

License Information

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 Samantha Sullivan, RD, CDN?

The NPI number of Samantha Sullivan, RD, CDN is 1376402115. It was assigned on January 19, 2026 and is currently active in the NPPES registry.

What is the specialty of Samantha Sullivan, RD, CDN?

Samantha Sullivan, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Samantha Sullivan, RD, CDN practice?

The practice location is 1575 Harbor Blvd Apt 3305, Weehawken, NJ 07086-6663. The office can be reached at 516-949-6269 (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 1376402115 directly on the NPPES registry website.

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