Active NPIIndividual providerSole proprietor

Jetta Y Bleicher, MS, RD

Dietitian, Registered in Elizabeth, New Jersey

NPI Number1871169946
Practice location
153 Keats Ave, Elizabeth, NJ 07208-1051
Fax
—
Last updated
May 31, 2021

Jetta Yael Bleicher is a Dietitian, Registered based in Elizabeth, NJ. Jetta Yael Bleicher practices in Elizabeth, NJ and has the professional credentials of MS, RD. The NPI Number for Jetta Yael Bleicher is 1871169946 and holds a License No. 1018753. The current practice location address for Jetta Yael Bleicher is 153 Keats Ave, Elizabeth, NJ 07208-1051 and can be reached out via phone at 347-251-8264.

Provider Profile Details

NPI Number
1871169946
Provider Name
Jetta Yael Bleicher
Credential
MS, RD
Provider Entity Type
Individual
Gender
Female
Address
153 Keats Ave, Elizabeth, NJ 07208-1051
Phone Number
347-251-8264
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 31, 2021
Last Update Date
May 31, 2021
Certification Date
May 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
153 Keats Ave
Elizabeth, NJ 07208-1051
Zip
07208-1051
Phone Number
347-251-8264
Elizabeth, NJ 07208Get directions →

Provider Business Mailing Address Details

Address
153 Keats Ave
Elizabeth, NJ 07208-1051
City
Elizabeth
State
NJ
Zip
07208-1051
Phone Number
347-251-8264

License Information

License Number
1018753
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 Jetta Y Bleicher, MS, RD?

The NPI number of Jetta Y Bleicher, MS, RD is 1871169946. It was assigned on May 31, 2021 and is currently active in the NPPES registry.

What is the specialty of Jetta Y Bleicher, MS, RD?

Jetta Y Bleicher, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 1018753.

Where does Jetta Y Bleicher, MS, RD practice?

The practice location is 153 Keats Ave, Elizabeth, NJ 07208-1051. The office can be reached at 347-251-8264 (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 1871169946 directly on the NPPES registry website.

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