Active NPIIndividual providerSole proprietor

Ms. Tracy N Gottschalk, REGISTERED DIETITIAN

Dietitian, Registered in Montclair, New Jersey

NPI Number1851923189
Practice location
309 Orange RD, Montclair, NJ 07042-4451
Fax
888-649-4924
Last updated
December 11, 2024

Tracy Nicole Gottschalk is a Dietitian, Registered based in Montclair, NJ. Tracy Nicole Gottschalk practices in Montclair, NJ and has the professional credentials of REGISTERED DIETITIAN. The NPI Number for Tracy Nicole Gottschalk is 1851923189. The current practice location address for Tracy Nicole Gottschalk is 309 Orange RD, Montclair, NJ 07042-4451 and can be reached out via phone at 908-230-7648 and via fax at 888-649-4924.

Provider Profile Details

NPI Number
1851923189
Provider Name
Tracy Nicole Gottschalk
Credential
REGISTERED DIETITIAN
Provider Entity Type
Individual
Gender
Female
Address
309 Orange RD, Montclair, NJ 07042-4451
Phone Number
908-230-7648
Fax Number
888-649-4924
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2020
Last Update Date
December 11, 2024
Certification Date
December 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
309 Orange RD
Montclair, NJ 07042-4451
Zip
07042-4451
Phone Number
908-230-7648
Fax Number
888-649-4924
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
49 Beverly RD
Montclair, NJ 07043-2401
City
Montclair
State
NJ
Zip
07043-2401
Phone Number
908-230-7648

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 Ms. Tracy N Gottschalk, REGISTERED DIETITIAN?

The NPI number of Ms. Tracy N Gottschalk, REGISTERED DIETITIAN is 1851923189. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Tracy N Gottschalk, REGISTERED DIETITIAN?

Ms. Tracy N Gottschalk, REGISTERED DIETITIAN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Ms. Tracy N Gottschalk, REGISTERED DIETITIAN practice?

The practice location is 309 Orange RD, Montclair, NJ 07042-4451. The office can be reached at 908-230-7648 (phone) or 888-649-4924 (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 1851923189 directly on the NPPES registry website.

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