Ms. Courtney L Gravenese, MS, RD
Dietitian, Registered in Montclair, New Jersey
1912064239- Practice location
- 460 Bloomfield Ave, Montclair, NJ 07042-3582
- Phone
- 973-734-0780
- Fax
- —
- Last updated
- July 8, 2007
Courtney Lee Gravenese is a Dietitian, Registered based in Montclair, NJ. Courtney Lee Gravenese practices in Montclair, NJ and has the professional credentials of MS, RD. The NPI Number for Courtney Lee Gravenese is 1912064239 and holds a License No. 005045-1 (NY). The current practice location address for Courtney Lee Gravenese is 460 Bloomfield Ave, Montclair, NJ 07042-3582 and can be reached out via phone at 973-734-0780.
Provider Profile Details
- NPI Number
- 1912064239
- Provider Name
- Courtney Lee Gravenese
- Credential
- MS, RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 460 Bloomfield Ave, Montclair, NJ 07042-3582
- Phone Number
- 973-734-0780
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 460 Bloomfield Ave
Montclair, NJ 07042-3582 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3582
- Phone Number
- 973-734-0780
Provider Business Mailing Address Details
- Address
- 92 Hillside Ave
Verona, NJ 07044-1023 - City
- Verona
- State
- NJ
- Zip
- 07044-1023
- Phone Number
- 646-373-3651
License Information
- License Number
- 005045-1
- License State
- NY
- 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. | |||
Other Dietitian, Registered providers near Montclair, NJ
View all Dietitian, Registered providers in Montclair →- Alina De Almeida, RDDietitian, Registered · NPI 1356805501
- Amy M Morel L'Horset, RD, CDCESDietitian, Registered · NPI 1992304117
- Audrey Laurelton, RDDietitian, Registered · NPI 1205278652
- Caitlin S Kiarie, RDNDietitian, Registered · NPI 1871798090
- Carol Shepheard-Walwyn, RDDietitian, Registered · NPI 1285309252
- Debra K Brown-Grossman, RDDietitian, Registered · NPI 1386691814
Frequently Asked Questions
What is the NPI number of Ms. Courtney L Gravenese, MS, RD?
The NPI number of Ms. Courtney L Gravenese, MS, RD is 1912064239. It was assigned on January 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Courtney L Gravenese, MS, RD?
Ms. Courtney L Gravenese, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 005045-1.
Where does Ms. Courtney L Gravenese, MS, RD practice?
The practice location is 460 Bloomfield Ave, Montclair, NJ 07042-3582. The office can be reached at 973-734-0780 (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 1912064239 directly on the NPPES registry website.