Active NPIOrganization

Tavares Medical Nutrition Therapy LLC

Dietitian, Registered in Weehawken, New Jersey

NPI Number1528660099
Practice location
1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303
Fax
—
Last updated
November 10, 2020

Tavares Medical Nutrition Therapy LLC is a healthcare organization based in Weehawken, NJ. Tavares Medical Nutrition Therapy LLC practices in Weehawken, NJ. The NPI Number for Tavares Medical Nutrition Therapy LLC is 1528660099. The current practice location address for Tavares Medical Nutrition Therapy LLC is 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 and can be reached out via phone at 201-704-4654.

Provider Profile Details

NPI Number
1528660099
Provider Name
Tavares Medical Nutrition Therapy LLC
Provider Entity Type
Organization
Address
1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303
Phone Number
201-704-4654
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Michelle Tavares, RD · Registered Dietitian · 201-704-4654
Provider Enumeration Date
November 10, 2020
Last Update Date
November 10, 2020
Certification Date
November 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1100 Avenue At Port Imperial Apt 910
Weehawken, NJ 07086-6303
Zip
07086-6303
Phone Number
201-704-4654
Weehawken, NJ 07086Get directions →

Provider Business Mailing Address Details

Address
1100 Avenue At Port Imperial Apt 910
Weehawken, NJ 07086-6303
City
Weehawken
State
NJ
Zip
07086-6303
Phone Number
201-704-4654

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 Tavares Medical Nutrition Therapy LLC?

The NPI number of Tavares Medical Nutrition Therapy LLC is 1528660099. It was assigned on November 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Tavares Medical Nutrition Therapy LLC?

Tavares Medical Nutrition Therapy LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Tavares Medical Nutrition Therapy LLC practice?

The practice location is 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303. The office can be reached at 201-704-4654 (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 1528660099 directly on the NPPES registry website.

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