Active NPIIndividual provider

Mercy K Edziah, MS, RD, CDCES

Dietitian, Registered in Newark, New Jersey

NPI Number1881152510
Practice location
654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110
Fax
201-604-4639
Last updated
May 22, 2023

Mercy K. Edziah is a Dietitian, Registered based in Newark, NJ. Mercy K. Edziah practices in Newark, NJ and has the professional credentials of MS, RD, CDCES. The NPI Number for Mercy K. Edziah is 1881152510 and holds a License No. 86020214 (IL). The current practice location address for Mercy K. Edziah is 654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110 and can be reached out via phone at 201-207-2158 and via fax at 201-604-4639.

Provider Profile Details

NPI Number
1881152510
Provider Name
Mercy K. Edziah
Credential
MS, RD, CDCES
Provider Entity Type
Individual
Gender
Female
Address
654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110
Phone Number
201-207-2158
Fax Number
201-604-4639
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2019
Last Update Date
May 22, 2023
Certification Date
May 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
654 Mount Prospect Ave Ste 302
Newark, NJ 07104-3110
City
Newark
Zip
07104-3110
Phone Number
201-207-2158
Fax Number
201-604-4639
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
654 Mount Prospect Ave Ste 302
Newark, NJ 07104-3110
City
Newark
State
NJ
Zip
07104-3110
Phone Number
201-207-2158
Fax Number
201-604-4639

License Information

License Number
86020214
License State
IL
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 Mercy K Edziah, MS, RD, CDCES?

The NPI number of Mercy K Edziah, MS, RD, CDCES is 1881152510. It was assigned on March 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Mercy K Edziah, MS, RD, CDCES?

Mercy K Edziah, MS, RD, CDCES is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in IL under license number 86020214.

Where does Mercy K Edziah, MS, RD, CDCES practice?

The practice location is 654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110. The office can be reached at 201-207-2158 (phone) or 201-604-4639 (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 1881152510 directly on the NPPES registry website.

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