Active NPIIndividual providerSole proprietor

Ms. Rebecca T Mansilla, RDN

Dietitian, Registered in Lakewood, New Jersey

NPI Number1609362466
Practice location
111 Clifton Ave, Lakewood, NJ 08701-3342
Fax
—
Last updated
May 16, 2024

Rebecca T Mansilla is a Dietitian, Registered based in Lakewood, NJ. Rebecca T Mansilla practices in Lakewood, NJ and has the professional credentials of RDN. The NPI Number for Rebecca T Mansilla is 1609362466. The current practice location address for Rebecca T Mansilla is 111 Clifton Ave, Lakewood, NJ 08701-3342 and can be reached out via phone at 732-966-2762.

Provider Profile Details

NPI Number
1609362466
Provider Name
Rebecca T Mansilla
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
111 Clifton Ave, Lakewood, NJ 08701-3342
Phone Number
732-966-2762
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2018
Last Update Date
May 16, 2024
Certification Date
May 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Clifton Ave
Lakewood, NJ 08701-3342
Zip
08701-3342
Phone Number
732-966-2762
Lakewood, NJ 08701Get directions →

Provider Business Mailing Address Details

Address
14 Glendale RD
Flanders, NJ 07836-9408
City
Flanders
State
NJ
Zip
07836-9408

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 Ms. Rebecca T Mansilla, RDN?

The NPI number of Ms. Rebecca T Mansilla, RDN is 1609362466. It was assigned on July 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Rebecca T Mansilla, RDN?

Ms. Rebecca T Mansilla, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Ms. Rebecca T Mansilla, RDN practice?

The practice location is 111 Clifton Ave, Lakewood, NJ 08701-3342. The office can be reached at 732-966-2762 (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 1609362466 directly on the NPPES registry website.

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