Healthcare Provider Details
I. General information
NPI: 1215950571
Provider Name (Legal Business Name): SUSAN K STRAHS RD,CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 KNOLLCROFT RD
LYONS NJ
07939-5000
US
IV. Provider business mailing address
39 BULLION RD
BASKING RIDGE NJ
07920-2420
US
V. Phone/Fax
- Phone: 908-647-0180
- Fax:
- Phone: 908-766-3537
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | 09520493 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | 303148 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: