Active NPIOrganization

Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC

Dietitian, Registered in Wyckoff, New Jersey

NPI Number1679024574
Practice location
465 W Main St, Wyckoff, NJ 07481-1453
Fax
—
Last updated
October 17, 2016

Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC is a healthcare organization based in Wyckoff, NJ. Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC practices in Wyckoff, NJ. The NPI Number for Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC is 1679024574 and holds a License No. 1052250 (NJ). The current practice location address for Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC is 465 W Main St, Wyckoff, NJ 07481-1453 and can be reached out via phone at 201-693-7942.

Provider Profile Details

NPI Number
1679024574
Provider Name
Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC
Provider Entity Type
Organization
Address
465 W Main St, Wyckoff, NJ 07481-1453
Phone Number
201-693-7942
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Megan Triolo, RDN · Registered Dietitian/Nutritionist · 201-693-7942
Provider Enumeration Date
October 17, 2016
Last Update Date
October 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
465 W Main St
Wyckoff, NJ 07481-1453
Zip
07481-1453
Phone Number
201-693-7942
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
59 Garibaldi Ave
2ND Floor
Lodi, NJ 07644-1805
City
Lodi
State
NJ
Zip
07644-1805
Phone Number
201-693-7942

License Information

License Number
1052250
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 Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC?

The NPI number of Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC is 1679024574. It was assigned on October 17, 2016 and is currently active in the NPPES registry.

What is the specialty of Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC?

Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 1052250.

Where does Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC practice?

The practice location is 465 W Main St, Wyckoff, NJ 07481-1453. The office can be reached at 201-693-7942 (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 1679024574 directly on the NPPES registry website.

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