KELLY DI FABIO (NPI# 1851722565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722565 |
| Entity Type | Individual |
| Full Name | KELLY DI FABIO |
| Credential | RD |
| Practice Address |
485c Us Highway 1 South Suite 350, Room 104 Iselin NJ 08830 |
| Mailing Address |
61 Florence Ave Colonia NJ 07067-1810 |
| Practice Telephone | 7327133970 |
| Mailing Telephone | 7327133970 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86009927 | NJ | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Centennial Ave, Piscataway, NJ 088543940 | 7322831900 | 7327919566 |
| 98 James St Ste 103, Edison, NJ 088203902 | 7326078250 | 7322189142 |
| Street Address |
485C US HIGHWAY 1 SOUTH SUITE 350, ROOM 104 |
| City | ISELIN |
| State | NJ |
| Zip Code | 08830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437716396 | Hometown Nourished L.L.C. | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830-0883 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492271 | Anum Hassan | Audiologist | Woodbridge Corporate Plaza, 485 Route 1 South, Building B, Suite 350, Iselin, NJ 08830 | 2018-10-03 |
| 1437635117 | Ryan L Maurer | Optometrist | 485 Rt 1s, Building, Iselin, NJ 08830 | 2018-07-16 |
| 1003334673 | Rachel Nyaanga | Counselor | 203 Rivington St, Iselin, NJ 08830 | 2017-09-05 |
| 1427570464 | Eric Robert Devore | Optometrist | 485 Route 1 South Building A, Omni Eye Serevices, Iselin, NJ 08830 | 2017-07-12 |
| 1720500762 | Natalie Nguyen | Optometrist | 485 Route 1 South, Building A, Omni Eye Services, Iselin, NJ 08830 | 2017-07-12 |
| 1548617905 | Healthy Body Healthy Mind LLC | Community/Behavioral Health | 97 Grand Avenue, Iselin, NJ 08830 | 2016-05-16 |
| 1710344023 | Pallavi Baskaralingam | Nurse Practitioner | 38 West George Place, Iselin, NJ 08830 | 2016-01-19 |
| 1609212570 | Kenneth Bruce Harpster | Specialist/Technologist | 200 Middlesex - Essex Turnpike, Suite 306n, Iselin, NJ 08830 | 2013-05-17 |
| 1548565138 | Nancy Vasco | Physical Therapy Assistant | 30 Trento St, Iselin, NJ 08830 | 2011-01-13 |
| 1568787802 | Brinder Singh Sandhu | Pharmacist | 67 Elm Ave, Iselin, NJ 08830 | 2010-03-30 |
| Find all providers in zip 08830 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932267242 | Augustus Mosca | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2638 | 2006-12-05 |
| 1437716396 | Hometown Nourished L.L.C. | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830-0883 | 2019-05-24 |
| 1033420435 | Tanya Beckman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-06-30 |
| 1164741252 | Rachael Sokolic | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-05-28 |
| 1760714000 | Jaclyn Prusakowski | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-02-11 |
| 1770818221 | Erin Headley | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-10-15 |
| 1205075140 | Devon Golem | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-02-17 |
| 1962653204 | Jodi Fitterman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| 1700037033 | Alison Brown | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| 1033389184 | Maria Christoudias | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-03-05 |
| Find all providers in ISELIN | ||||
Please comment or provide details below to improve the information on KELLY DI FABIO.
| 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.