Active NPIOrganization

Northeast Dietitian LLC

Dietitian, Registered, Nutrition, Metabolic in Newington, Connecticut

NPI Number1588357883
Practice location
192 Stoddard Ave, Newington, CT 06111-1914
Fax
—
Last updated
June 1, 2023

Northeast Dietitian LLC is a healthcare organization based in Newington, CT. Northeast Dietitian LLC practices in Newington, CT. The NPI Number for Northeast Dietitian LLC is 1588357883. The current practice location address for Northeast Dietitian LLC is 192 Stoddard Ave, Newington, CT 06111-1914 and can be reached out via phone at 360-888-9293.

Provider Profile Details

NPI Number
1588357883
Provider Name
Northeast Dietitian LLC
Provider Entity Type
Organization
Address
192 Stoddard Ave, Newington, CT 06111-1914
Phone Number
360-888-9293
Primary Taxonomy
Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
Organization Subpart
No
Authorized Official
Malaya Mount · Owner · 360-888-9293
Provider Enumeration Date
June 1, 2023
Last Update Date
June 1, 2023
Certification Date
June 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
192 Stoddard Ave
Newington, CT 06111-1914
Zip
06111-1914
Phone Number
360-888-9293
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
192 Stoddard Ave
Newington, CT 06111-1914
City
Newington
State
CT
Zip
06111-1914
Phone Number
360-888-9293

License Information

Taxonomy
Dietitian, Registered, Nutrition, Metabolic · 133VN1006X · 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 Northeast Dietitian LLC?

The NPI number of Northeast Dietitian LLC is 1588357883. It was assigned on June 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Northeast Dietitian LLC?

Northeast Dietitian LLC is registered under the primary taxonomy Dietitian, Registered, Nutrition, Metabolic (code 133VN1006X).

Where does Northeast Dietitian LLC practice?

The practice location is 192 Stoddard Ave, Newington, CT 06111-1914. The office can be reached at 360-888-9293 (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 1588357883 directly on the NPPES registry website.

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