Healthcare Provider Details

I. General information

NPI: 1407094899
Provider Name (Legal Business Name): NICOLE JEAN SCHALDONE MS, RD, CSO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NICOLE JEAN BAKER MS, RD, CSO

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WESCOTT DR STE 201
FLEMINGTON NJ
08822-4600
US

IV. Provider business mailing address

1100 WESCOTT DR STE 201
FLEMINGTON NJ
08822-4600
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-4022
  • Fax:
Mailing address:
  • Phone: 908-788-4022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number00927860
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: