MS. LISA P HAVERSTICK (NPI# 1619479573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619479573 |
| Entity Type | Individual |
| Full Name | MS. LISA P HAVERSTICK |
| Credential | RDN,CNSC,FAND |
| Practice Address |
435 South St Ste 330 Morristown NJ 07960-6472 |
| Practice Telephone | 9739717101 |
| Practice Fax Number | 9732907518 |
| Mailing Telephone | 9739717101 |
| Mailing Fax Number | 9732907518 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| Street Address |
435 SOUTH ST STE 330 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649361692 | John C Saldarini | Internal Medicine | 435 South St Ste 330, Morristown, NJ 07960-6472 | 2006-09-27 |
| 1497392435 | Moira Clair Ryan | Dietitian, Registered | 435 South St Ste 330, Morristown, NJ 07960-6472 | 2019-12-10 |
| 1386146090 | Debra Freschl | Dietitian, Registered | 435 South St Ste 330, Morristown, NJ 07960-6472 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386146090 | Debra Freschl | Dietitian, Registered | 435 South St Ste 330, Morristown, NJ 07960-6472 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851895395 | Narissa Medina | Dietitian, Registered | 610 Sewall Ave Apt 10s, Asbury Park, NJ 07712-6549 | 2018-03-20 |
| 1336681592 | Rachna Singh | Dietitian, Registered | 203 Harvest Ln, Monmouth Junction, NJ 08852-1908 | 2016-11-04 |
| 1497154116 | Francesca Maria Miller | Dietitian, Registered | 38 Cedar Island Dr, Brick, NJ 08723-7575 | 2014-08-19 |
| 1205196755 | Blanche Keir | Dietitian, Registered | 111 Lansdowne Ave, Haddonfield, NJ 08033-2735 | 2012-05-17 |
| 1114221363 | Health Dynamics LLC | Dietitian, Registered | 37 Stiles Ave, Morris Plains, NJ 07950-1816 | 2011-01-03 |
| 1154585743 | Peta Cohen | Dietitian, Registered | 11 N Dean St, 2nd Floor, Englewood, NJ 07631-2804 | 2008-07-14 |
| 1992829667 | Angela J. Langner | Dietitian, Registered | 25 Zabriskie St, 2b, Hackensack, NJ 07601-4911 | 2007-03-19 |
| 1457499030 | Linda L Lee | Dietitian, Registered | 2209 Conrad Way, Somerset, NJ 08873-6099 | 2007-02-03 |
| 1588727218 | Bindu Jenveja | Dietitian, Registered | 83 Pettit Pl, Princeton, NJ 08540-7645 | 2006-12-17 |
| 1821150640 | Maureen Kachinski | Dietitian, Registered | 58 Thornbrooke Dr, Shrewsbury, NJ 07702-4348 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on MS. LISA P HAVERSTICK.
| 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.