Active NPIIndividual providerSole proprietor

Ms. Nicole Longoria, DTR, NPTI, NSCA-CPT

Dietetic Technician, Registered in Edison, New Jersey

NPI Number1720373178
Practice location
1310 Wallace St, Edison, NJ 08817-3384
Fax
732-662-9392
Last updated
June 14, 2011

Nicole Longoria is a Dietetic Technician, Registered based in Edison, NJ. Nicole Longoria practices in Edison, NJ and has the professional credentials of DTR, NPTI, NSCA-CPT. The NPI Number for Nicole Longoria is 1720373178. The current practice location address for Nicole Longoria is 1310 Wallace St, Edison, NJ 08817-3384 and can be reached out via phone at 732-754-8308 and via fax at 732-662-9392.

Provider Profile Details

NPI Number
1720373178
Provider Name
Nicole Longoria
Credential
DTR, NPTI, NSCA-CPT
Provider Entity Type
Individual
Gender
Female
Address
1310 Wallace St, Edison, NJ 08817-3384
Phone Number
732-754-8308
Fax Number
732-662-9392
Primary Taxonomy
Dietetic Technician, Registered · 136A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2011
Last Update Date
June 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Wallace St
Edison, NJ 08817-3384
City
Edison
Zip
08817-3384
Phone Number
732-754-8308
Fax Number
732-662-9392
Edison, NJ 08817Get directions →

Provider Business Mailing Address Details

Address
1310 Wallace St
Edison, NJ 08817-3384
City
Edison
State
NJ
Zip
08817-3384
Phone Number
732-754-8308
Fax Number
732-662-9392

License Information

Taxonomy
Dietetic Technician, Registered · 136A00000X · 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. Nicole Longoria, DTR, NPTI, NSCA-CPT?

The NPI number of Ms. Nicole Longoria, DTR, NPTI, NSCA-CPT is 1720373178. It was assigned on June 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Nicole Longoria, DTR, NPTI, NSCA-CPT?

Ms. Nicole Longoria, DTR, NPTI, NSCA-CPT is registered under the primary taxonomy Dietetic Technician, Registered (code 136A00000X).

Where does Ms. Nicole Longoria, DTR, NPTI, NSCA-CPT practice?

The practice location is 1310 Wallace St, Edison, NJ 08817-3384. The office can be reached at 732-754-8308 (phone) or 732-662-9392 (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 1720373178 directly on the NPPES registry website.

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