Active NPIIndividual providerSole proprietor

Angela G Sullivan, MS, RD, CNSD

Dietitian, Registered in Paramus, New Jersey

NPI Number1568586493
Practice location
27 Madison Ave Ste 50, Paramus, NJ 07652-2722
Fax
—
Last updated
July 8, 2007

Angela G Sullivan is a Dietitian, Registered based in Paramus, NJ. Angela G Sullivan practices in Paramus, NJ and has the professional credentials of MS, RD, CNSD. The NPI Number for Angela G Sullivan is 1568586493 and holds a License No. 870949 (IL). The current practice location address for Angela G Sullivan is 27 Madison Ave Ste 50, Paramus, NJ 07652-2722 and can be reached out via phone at 201-370-5656.

Provider Profile Details

NPI Number
1568586493
Provider Name
Angela G Sullivan
Credential
MS, RD, CNSD
Provider Entity Type
Individual
Gender
Female
Address
27 Madison Ave Ste 50, Paramus, NJ 07652-2722
Phone Number
201-370-5656
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Madison Ave Ste 50
Paramus, NJ 07652-2722
Zip
07652-2722
Phone Number
201-370-5656
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
92 Park St
Tenafly, NJ 07670-1125
City
Tenafly
State
NJ
Zip
07670-1125
Phone Number
201-370-5656

License Information

License Number
870949
License State
IL
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 Angela G Sullivan, MS, RD, CNSD?

The NPI number of Angela G Sullivan, MS, RD, CNSD is 1568586493. It was assigned on March 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Angela G Sullivan, MS, RD, CNSD?

Angela G Sullivan, MS, RD, CNSD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in IL under license number 870949.

Where does Angela G Sullivan, MS, RD, CNSD practice?

The practice location is 27 Madison Ave Ste 50, Paramus, NJ 07652-2722. The office can be reached at 201-370-5656 (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 1568586493 directly on the NPPES registry website.

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