Eating Disorder Medical Nutrition Therapy
Dietitian, Registered in Old Tappan, New Jersey
1720919053- Practice location
- 200 Old Tappan RD Ste 5, Old Tappan, NJ 07675-7033
- Phone
- 201-970-7573
- Fax
- 551-390-2002
- Last updated
- May 26, 2026
Eating Disorder Medical Nutrition Therapy is a healthcare organization based in Old Tappan, NJ. Eating Disorder Medical Nutrition Therapy practices in Old Tappan, NJ. The NPI Number for Eating Disorder Medical Nutrition Therapy is 1720919053. The current practice location address for Eating Disorder Medical Nutrition Therapy is 200 Old Tappan RD Ste 5, Old Tappan, NJ 07675-7033 and can be reached out via phone at 201-970-7573 and via fax at 551-390-2002.
Provider Profile Details
- NPI Number
- 1720919053
- Provider Name
- Eating Disorder Medical Nutrition Therapy
- Provider Entity Type
- Organization
- Address
- 200 Old Tappan RD Ste 5, Old Tappan, NJ 07675-7033
- Phone Number
- 201-970-7573
- Fax Number
- 551-390-2002
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Amy Dahl, RD · Founder · 201-970-7573
- Provider Enumeration Date
- May 26, 2026
- Last Update Date
- May 26, 2026
- Certification Date
- May 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Old Tappan RD Ste 5
Old Tappan, NJ 07675-7033 - City
- Old Tappan
- State
- New Jersey
- Zip
- 07675-7033
- Phone Number
- 201-970-7573
- Fax Number
- 551-390-2002
Provider Business Mailing Address Details
- Address
- 200 Old Tappan RD Ste 5
Old Tappan, NJ 07675-7033 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7033
- Phone Number
- 201-970-7573
- Fax Number
- 551-390-2002
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Eating Disorder Medical Nutrition Therapy?
The NPI number of Eating Disorder Medical Nutrition Therapy is 1720919053. It was assigned on May 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Eating Disorder Medical Nutrition Therapy?
Eating Disorder Medical Nutrition Therapy is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Eating Disorder Medical Nutrition Therapy practice?
The practice location is 200 Old Tappan RD Ste 5, Old Tappan, NJ 07675-7033. The office can be reached at 201-970-7573 (phone) or 551-390-2002 (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 1720919053 directly on the NPPES registry website.