Healthcare Provider Details

I. General information

NPI: 1518103027
Provider Name (Legal Business Name): RITA SINGER R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 TERHUNE AVE
PASSAIC NJ
07055-3326
US

IV. Provider business mailing address

353 TERHUNE AVE
PASSAIC NJ
07055-3326
US

V. Phone/Fax

Practice location:
  • Phone: 862-239-6370
  • Fax:
Mailing address:
  • Phone: 862-221-6391
  • Fax: 973-521-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1011327
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: