DIAETA CLINIC- WE CARE (NPI# 1700271202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700271202 |
Entity Type | Organization |
Organization Name | DIAETA CLINIC- WE CARE |
Practice Address |
121 Center Grove Rd Randolph NJ 07869-4453 |
Practice Telephone | 3158342682 |
Mailing Telephone | 3158342682 |
Enumeration Date | 2015-04-01 |
Last Update Date | 2019-01-23 |
Authorized Official Name | SOBHA MALLA (REGISTERED DIETITIAN) |
Authorized Official Telephone | 3158342382 |
Authorized Official Credential | RDN, CSR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
Street Address |
121 CENTER GROVE RD |
City | RANDOLPH |
State | NJ |
Zip Code | 07869-4453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285626697 | Marc Jay Schlemovitz | Podiatrist | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2005-08-22 |
1730700907 | Dynamic Foot & Ankle | Podiatrist | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2020-04-29 |
1598292484 | Eileen Dalton | Physical Therapist | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2017-05-22 |
1801286240 | Sobha Malla | Dietitian, Registered | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2015-01-23 |
1821431909 | Kaitlin Dickert Gonzales | Podiatrist | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2013-04-09 |
1275871725 | Advocare, LLC | Orthopaedic Surgery | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2013-01-17 |
1205135548 | Lauren Paster | Internal Medicine | 121 Center Grove Rd, Randolph, NJ 07869 | 2011-03-25 |
1184945552 | Shing Li | Internal Medicine | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2010-06-18 |
1750559340 | Family Medicine Associates of Randolph LLC | Family Medicine | 121 Center Grove Rd, Suite 5, Randolph, NJ 07869-4453 | 2008-02-15 |
1508045766 | Lauren Marie Falvey | Physician Assistant | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2007-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
Find all providers in zip 07869 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801286240 | Sobha Malla | Dietitian, Registered | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2015-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164817904 | Rupinder Kang | Dietitian, Registered | 24 New England Dr, Lake Hiawatha, NJ 07034-2029 | 2015-03-30 |
1598107328 | Everyday Nutrition, LLC | Dietitian, Registered | 42 Marlton Dr, Wayne, NJ 07470-5331 | 2013-07-22 |
1144415902 | Laura Fisher Sabban | Dietitian, Registered | 115 Old Short Hills Rd, Apt. 289, West Orange, NJ 07052-1009 | 2007-09-13 |
1487858726 | Marjorie Goldberg | Dietitian, Registered | 9 Cleveland Ter, West Orange, NJ 07052-1901 | 2007-06-12 |
1528386901 | Shalini A Sanil | Dietitian, Registered | 321 N Warren St, Trenton, NJ 08618-4741 | 2010-05-11 |
1730337502 | Sharon Flynn | Dietitian, Registered | 769 Northfield Ave, Ckd Services of W. Orange Ste. Ll4, West Orange, NJ 07052-1198 | 2008-09-04 |
1386817856 | Betsy Rochelle Dubov | Dietitian, Registered | 8 Old Bridge Tpke, South River, NJ 08882-2400 | 2008-04-07 |
1619172715 | Melissa R. Bennett | Dietitian, Registered | 1417 Brace Rd, Cherry Hill, NJ 08034-3524 | 2007-06-19 |
1073603015 | Renee Sandra Stewart | Dietitian, Registered | 471 Center St, Kidney Treatment Center of Phillipsburg - Ckd Services, Phillipsburg, NJ 08865-2663 | 2006-10-13 |
1013022599 | Janak Roma Anand M.s., R.d.,llc | Dietitian, Registered | 137 Mountain Ave, Hackettstown, NJ 07840-2307 | 2006-08-21 |
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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.