Active NPIIndividual provider

Nicole L Hallissey, RDN

Dietitian, Registered in Mahwah, New Jersey

NPI Number1619514783
Practice location
7 Brook St, Mahwah, NJ 07430-1103
Fax
347-348-0734
Last updated
May 27, 2025

Nicole Lyn Hallissey is a Dietitian, Registered based in Mahwah, NJ. Nicole Lyn Hallissey practices in Mahwah, NJ and has the professional credentials of RDN. The NPI Number for Nicole Lyn Hallissey is 1619514783 and holds a License No. 008173 (NY). The current practice location address for Nicole Lyn Hallissey is 7 Brook St, Mahwah, NJ 07430-1103 and can be reached out via phone at 201-264-2251 and via fax at 347-348-0734.

Provider Profile Details

NPI Number
1619514783
Provider Name
Nicole Lyn Hallissey
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
7 Brook St, Mahwah, NJ 07430-1103
Phone Number
201-264-2251
Fax Number
347-348-0734
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2019
Last Update Date
May 27, 2025
Certification Date
May 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Brook St
Mahwah, NJ 07430-1103
City
Mahwah
Zip
07430-1103
Phone Number
201-264-2251
Fax Number
347-348-0734
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
45 E End Ave Apt 4D
New York, NY 10028-7980
City
New York
State
NY
Zip
10028-7980
Phone Number
201-264-2251
Fax Number
347-348-0734

License Information

License Number
008173
License State
NY
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 Nicole L Hallissey, RDN?

The NPI number of Nicole L Hallissey, RDN is 1619514783. It was assigned on December 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicole L Hallissey, RDN?

Nicole L Hallissey, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 008173.

Where does Nicole L Hallissey, RDN practice?

The practice location is 7 Brook St, Mahwah, NJ 07430-1103. The office can be reached at 201-264-2251 (phone) or 347-348-0734 (fax).

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 1619514783 directly on the NPPES registry website.

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