Active NPIIndividual providerSole proprietor

Elise C Sopov

Dietitian, Registered in Cedar Grove, New Jersey

NPI Number1639254162
Practice location
1376 Pompton Ave, Cedar Grove, NJ 07009-1011
Fax
844-436-5129
Last updated
January 27, 2017

Elise Chassen Sopov is a Dietitian, Registered based in Cedar Grove, NJ. Elise Chassen Sopov practices in Cedar Grove, NJ. The NPI Number for Elise Chassen Sopov is 1639254162. The current practice location address for Elise Chassen Sopov is 1376 Pompton Ave, Cedar Grove, NJ 07009-1011 and can be reached out via phone at 973-200-0896 and via fax at 844-436-5129.

Provider Profile Details

NPI Number
1639254162
Provider Name
Elise Chassen Sopov
Provider Entity Type
Individual
Gender
Female
Address
1376 Pompton Ave, Cedar Grove, NJ 07009-1011
Phone Number
973-200-0896
Fax Number
844-436-5129
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
Ms. Elise Melanie Chassen, RD (Former Name)
Provider Enumeration Date
October 25, 2006
Last Update Date
January 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1376 Pompton Ave
Cedar Grove, NJ 07009-1011
Zip
07009-1011
Phone Number
973-200-0896
Fax Number
844-436-5129
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
71 Bergen Dr
Little Falls, NJ 07424-1341
City
Little Falls
State
NJ
Zip
07424-1341
Phone Number
973-200-0896
Fax Number
844-436-5129

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 Elise C Sopov?

The NPI number of Elise C Sopov is 1639254162. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Elise C Sopov?

Elise C Sopov is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Elise C Sopov practice?

The practice location is 1376 Pompton Ave, Cedar Grove, NJ 07009-1011. The office can be reached at 973-200-0896 (phone) or 844-436-5129 (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 1639254162 directly on the NPPES registry website.

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