MEDICARE: ALEXIS PINTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86096166	NJ

General Provider Information

NPI Number	:	1174179261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS PINTO

Provider Business Mailing Address
First Line	:	16 MADISON CT
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	987 HADDON AVE
Second Line	:
City	:	COLLINGSWOOD
State	:	NJ
Zip	:	08108-2048
Country	:	US
Telephone Number	:	856-617-1012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2019
Last Update Date	:	02/02/2026

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Directions to “ ALEXIS PINTO ” Practice Location

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