Active NPIIndividual provider

Matthew Carmen-Wijbenga, MPH, RDN

Dietitian, Registered in West Orange, New Jersey

NPI Number1568079978
Practice location
10 Tenney RD, West Orange, NJ 07052-1316
Fax
—
Last updated
September 29, 2020

Matthew Carmen-Wijbenga is a Dietitian, Registered based in West Orange, NJ. Matthew Carmen-Wijbenga practices in West Orange, NJ and has the professional credentials of MPH, RDN. The NPI Number for Matthew Carmen-Wijbenga is 1568079978 and holds a License No. 86171763 (NJ). The current practice location address for Matthew Carmen-Wijbenga is 10 Tenney RD, West Orange, NJ 07052-1316 and can be reached out via phone at 862-216-7987.

Provider Profile Details

NPI Number
1568079978
Provider Name
Matthew Carmen-Wijbenga
Credential
MPH, RDN
Provider Entity Type
Individual
Gender
Male
Address
10 Tenney RD, West Orange, NJ 07052-1316
Phone Number
862-216-7987
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2020
Last Update Date
September 29, 2020
Certification Date
September 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Tenney RD
West Orange, NJ 07052-1316
Zip
07052-1316
Phone Number
862-216-7987
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
10 Tenney RD
West Orange, NJ 07052-1316
City
West Orange
State
NJ
Zip
07052-1316
Phone Number
862-216-7987

License Information

License Number
86171763
License State
NJ
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 Matthew Carmen-Wijbenga, MPH, RDN?

The NPI number of Matthew Carmen-Wijbenga, MPH, RDN is 1568079978. It was assigned on September 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Matthew Carmen-Wijbenga, MPH, RDN?

Matthew Carmen-Wijbenga, MPH, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86171763.

Where does Matthew Carmen-Wijbenga, MPH, RDN practice?

The practice location is 10 Tenney RD, West Orange, NJ 07052-1316. The office can be reached at 862-216-7987 (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 1568079978 directly on the NPPES registry website.

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