Active NPIOrganization

Madalyn Diabetes Nutrition LLC

Dietitian, Registered in Montclair, New Jersey

NPI Number1639839087
Practice location
18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642
Fax
973-333-4070
Last updated
April 19, 2022

Madalyn Diabetes Nutrition LLC is a healthcare organization based in Montclair, NJ. Madalyn Diabetes Nutrition LLC practices in Montclair, NJ. The NPI Number for Madalyn Diabetes Nutrition LLC is 1639839087. The current practice location address for Madalyn Diabetes Nutrition LLC is 18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642 and can be reached out via phone at 862-262-8326 and via fax at 973-333-4070.

Provider Profile Details

NPI Number
1639839087
Provider Name
Madalyn Diabetes Nutrition LLC
Provider Entity Type
Organization
Address
18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642
Phone Number
862-262-8326
Fax Number
973-333-4070
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Madalyn Vasquez, RDN, CDCES · Registered Dietitian · 862-262-8326
Provider Enumeration Date
December 27, 2021
Last Update Date
April 19, 2022
Certification Date
April 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
18-20 Lackawanna Plz Ste 200
Montclair, NJ 07042-3642
Zip
07042-3642
Phone Number
862-262-8326
Fax Number
973-333-4070
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
459 6TH Ave
Paterson, NJ 07514-2282
City
Paterson
State
NJ
Zip
07514-2282
Phone Number
862-262-8326

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 Madalyn Diabetes Nutrition LLC?

The NPI number of Madalyn Diabetes Nutrition LLC is 1639839087. It was assigned on December 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Madalyn Diabetes Nutrition LLC?

Madalyn Diabetes Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Madalyn Diabetes Nutrition LLC practice?

The practice location is 18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642. The office can be reached at 862-262-8326 (phone) or 973-333-4070 (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 1639839087 directly on the NPPES registry website.

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