Healthcare Provider Details

I. General information

NPI: 1992907307
Provider Name (Legal Business Name): CARMEL MONFILETTO MS,RD,LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19330 LIGHTHOUSE PLAZA BLVD UNIT 1
REHOBOTH BEACH DE
19971-6161
US

IV. Provider business mailing address

105 ANCHOR WAY UNIT 212
REHOBOTH BEACH DE
19971-2450
US

V. Phone/Fax

Practice location:
  • Phone: 302-585-8555
  • Fax:
Mailing address:
  • Phone: 484-467-4538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN002524
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN0000519
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: