TEACHING FENIX RDN CAFE LLC


Address: 90 E Halsey Rd, St308, Parsippany, NJ 07054-3713
Phone: 9736647948

TEACHING FENIX RDN CAFE LLC (NPI# 1427683192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427683192
Entity Type Organization
Organization Name TEACHING FENIX RDN CAFE LLC
Practice Address 90 E Halsey Rd
St308
Parsippany
NJ 07054-3713
Mailing Address 90 E Halsey Rd
Suite 308
Parsippany
NJ 07054-3713
Practice Telephone 9736647948
Practice Fax Number 9733851650
Mailing Telephone 9732062130
Mailing Fax Number 9733851650
Enumeration Date 2020-03-03
Last Update Date 2020-08-27
Authorized Official Name MRS. CYNTHIA L LOPEZ-PETTORINO (OWNER, PROVIDER, SINGLE MEMBER LLC)
Authorized Official Telephone 9732062130
Authorized Official Credential RDN, CDE
Is Organization Subpart Y
Parent Organization Name CYNTHIA L LOPEZ-PETTORINO SOLE MBR

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ TYPE 1 NPI FOR CYNTHIA L LOPEZ-PETTORINO 1376849117 01

Office Location

Street Address 90 E HALSEY RD
ST308
City PARSIPPANY
State NJ
Zip Code 07054-3713

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NPI Name Taxonomy Address Enumeration
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1184137739 Samantha A Farid Social Worker 320 W Hanover Ave, Parsippany, NJ 07054 2017-11-06
1285144402 Caring for Life Adult Medical Daycare Clinic/Center 120 E Halsey Road, Parsippany, NJ 07054 2017-10-02
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1649714775 Krishna Modi Pharmacist 6 Pitman Rd, Parsippany, NJ 07054 2016-12-08
1821545435 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3503 Route 46, Parsippany, NJ 07054 2016-09-01
1558816603 Luciann Cooke Counselor 90 E Halsey Rd Ste 369, Parsippany, NJ 07054 2016-08-18
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033726658 Linda Brooks Nutritionist 309 Morris Avenue, Suite F, Spring Lake, NJ 07762-1533 2020-09-28
1750995981 Talia Benders Nutritionist 23 Wheeler St Fl 2, Montclair, NJ 07042-4603 2020-09-04
1407469331 Matthew Luongo Nutritionist 901 Madison St Apt 3b, Hoboken, NJ 07030-6434 2020-08-29
1194343616 Robyn Ziemba Nutritionist 61 Adams Dr, Cresskill, NJ 07626-1727 2020-07-10
1336768704 Theresa Rielly Nutritionist 1190 Old Freehold Rd, Toms River, NJ 08753-5258 2020-04-15
1629608815 Jessica Groff Nutritionist 62 Seminole Ave, Oakland, NJ 07436-2926 2020-01-16
1497312946 Anita Christina Jalloh Nutritionist 120 Farm Ln, Bound Brook, NJ 08805-1414 2019-05-21
1912496142 Jaclyn Ann Jacobsen Nutritionist 17-12 Hunter Pl, Fair Lawn, NJ 07410-5242 2018-05-03
1104325497 Jeannine Marie Remcnamara Nutritionist 40 Dewey Ave, Colonia, NJ 07067-2015 2018-02-02
1689182248 Kate Hope Nutritionist 70 Norse Dr, Howell, NJ 07731-8732 2018-01-17
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Competitor

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City PARSIPPANY
Zip Code 07054

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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