Healthcare Provider Details

I. General information

NPI: 1841432051
Provider Name (Legal Business Name): NUTRITION FOR YOU CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MERKER DR
EDISON NJ
08837-2732
US

IV. Provider business mailing address

PO BOX 2050
EDISON NJ
08818-2050
US

V. Phone/Fax

Practice location:
  • Phone: 732-417-3835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MS. SARITA CLEMENTS
Title or Position: DIETITIAN/ OWNER
Credential: MS, RD
Phone: 732-417-3835