Healthcare Provider Details

I. General information

NPI: 1366234817
Provider Name (Legal Business Name): MARISSA SHARKEY NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 OLD HIGHWAY 22 STE 5
CLINTON NJ
08809-1376
US

IV. Provider business mailing address

44 OLD HIGHWAY 22 STE 5
CLINTON NJ
08809-1376
US

V. Phone/Fax

Practice location:
  • Phone: 908-989-0798
  • Fax: 908-503-0653
Mailing address:
  • Phone: 908-989-0798
  • Fax: 908-503-0653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARISSA SHARKEY
Title or Position: OWNER
Credential: RD
Phone: 908-989-0798