Active NPIIndividual providerSole proprietor

Julene Stassou, MS, RD

Dietitian, Registered in Waldwick, New Jersey

NPI Number1598069593
Practice location
171 Franklin Tpke, Suite 110, Waldwick, NJ 07463-1849
Fax
—
Last updated
January 5, 2011

Julene Stassou is a Dietitian, Registered based in Waldwick, NJ. Julene Stassou practices in Waldwick, NJ and has the professional credentials of MS, RD. The NPI Number for Julene Stassou is 1598069593 and holds a License No. 867918 (NJ). The current practice location address for Julene Stassou is 171 Franklin Tpke, Suite 110, Waldwick, NJ 07463-1849 and can be reached out via phone at 201-612-5100.

Provider Profile Details

NPI Number
1598069593
Provider Name
Julene Stassou
Credential
MS, RD
Provider Entity Type
Individual
Gender
Female
Address
171 Franklin Tpke, Suite 110, Waldwick, NJ 07463-1849
Phone Number
201-612-5100
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 5, 2011
Last Update Date
January 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Franklin Tpke
Suite 110
Waldwick, NJ 07463-1849
Zip
07463-1849
Phone Number
201-612-5100
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
2041 Edwin Ave
Fort Lee, NJ 07024-2934
City
Fort Lee
State
NJ
Zip
07024-2934
Phone Number
201-947-8868

License Information

License Number
867918
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 Julene Stassou, MS, RD?

The NPI number of Julene Stassou, MS, RD is 1598069593. It was assigned on January 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Julene Stassou, MS, RD?

Julene Stassou, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 867918.

Where does Julene Stassou, MS, RD practice?

The practice location is 171 Franklin Tpke, Suite 110, Waldwick, NJ 07463-1849. The office can be reached at 201-612-5100 (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 1598069593 directly on the NPPES registry website.

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