Active NPIIndividual providerSole proprietor

Brocha D Birnbaum, RDN

Dietitian, Registered in Lakewood, New Jersey

NPI Number1861023350
Practice location
518 Forest Ave Apt B-11, Lakewood, NJ 08701-2517
Fax
—
Last updated
February 3, 2020

Brocha D Birnbaum is a Dietitian, Registered based in Lakewood, NJ. Brocha D Birnbaum practices in Lakewood, NJ and has the professional credentials of RDN. The NPI Number for Brocha D Birnbaum is 1861023350. The current practice location address for Brocha D Birnbaum is 518 Forest Ave Apt B-11, Lakewood, NJ 08701-2517 and can be reached out via phone at 773-414-5037.

Provider Profile Details

NPI Number
1861023350
Provider Name
Brocha D Birnbaum
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
518 Forest Ave Apt B-11, Lakewood, NJ 08701-2517
Phone Number
773-414-5037
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2020
Last Update Date
February 3, 2020
Certification Date
February 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
518 Forest Ave Apt B-11
Lakewood, NJ 08701-2517
Zip
08701-2517
Phone Number
773-414-5037
Lakewood, NJ 08701Get directions →

Provider Business Mailing Address Details

Address
518 Forest Ave Apt B-11
Lakewood, NJ 08701-2517
City
Lakewood
State
NJ
Zip
08701-2517
Phone Number
773-414-5037

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 Brocha D Birnbaum, RDN?

The NPI number of Brocha D Birnbaum, RDN is 1861023350. It was assigned on February 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Brocha D Birnbaum, RDN?

Brocha D Birnbaum, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Brocha D Birnbaum, RDN practice?

The practice location is 518 Forest Ave Apt B-11, Lakewood, NJ 08701-2517. The office can be reached at 773-414-5037 (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 1861023350 directly on the NPPES registry website.

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