Active NPIOrganization

Sid Iii,llc

Dietitian, Registered in West Berlin, New Jersey

NPI Number1508317801
Practice location
545 N Route 73, West Berlin, NJ 08091-9242
Fax
856-753-6200
Last updated
October 21, 2016

Sid Iii,llc is a healthcare organization based in West Berlin, NJ. Sid Iii,llc practices in West Berlin, NJ. The NPI Number for Sid Iii,llc is 1508317801 and holds a License No. DN005313 (PA). The current practice location address for Sid Iii,llc is 545 N Route 73, West Berlin, NJ 08091-9242 and can be reached out via phone at 856-753-1800 and via fax at 856-753-6200.

Provider Profile Details

NPI Number
1508317801
Provider Name
Sid Iii,llc
Provider Entity Type
Organization
Address
545 N Route 73, West Berlin, NJ 08091-9242
Phone Number
856-753-1800
Fax Number
856-753-6200
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Beryl F Krinsky, RDN, LDN · Registered Dietitian · 215-764-9651
Other Names
Future Fitness Centers (Doing Business As)
Provider Enumeration Date
October 21, 2016
Last Update Date
October 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
545 N Route 73
West Berlin, NJ 08091-9242
Zip
08091-9242
Phone Number
856-753-1800
Fax Number
856-753-6200
West Berlin, NJ 08091Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 18
West Berlin, NJ 08091
City
West Berlin
State
NJ
Zip
08091
Phone Number
856-753-1800
Fax Number
856-753-6200

License Information

License Number
DN005313
License State
PA
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 Sid Iii,llc?

The NPI number of Sid Iii,llc is 1508317801. It was assigned on October 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Sid Iii,llc?

Sid Iii,llc is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number DN005313.

Where does Sid Iii,llc practice?

The practice location is 545 N Route 73, West Berlin, NJ 08091-9242. The office can be reached at 856-753-1800 (phone) or 856-753-6200 (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 1508317801 directly on the NPPES registry website.

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