NARISSA MEDINA


Address: 610 Sewall Ave Apt 10s, Asbury Park, NJ 07712-6549
Phone: 7327965490

NARISSA MEDINA (NPI# 1851895395) 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) 1851895395
Entity Type Individual
Full Name NARISSA MEDINA
Practice Address 610 Sewall Ave Apt 10s
Asbury Park
NJ 07712-6549
Practice Telephone 7327965490
Enumeration Date 2018-03-20
Last Update Date 2018-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
Dietary & Nutritional Service Providers

Office Location

Street Address 610 SEWALL AVE APT 10S
City ASBURY PARK
State NJ
Zip Code 07712-6549

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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1205196755 Blanche Keir Dietitian, Registered 111 Lansdowne Ave, Haddonfield, NJ 08033-2735 2012-05-17
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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
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Competitor

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City ASBURY PARK
Zip Code 07712

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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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