Healthcare Provider Details

I. General information

NPI: 1538976154
Provider Name (Legal Business Name): RACHEL EVELYN ROVNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ROCKAFELLER RD
PISCATAWAY NJ
08854-8053
US

IV. Provider business mailing address

95 ROCKAFELLER RD
PISCATAWAY NJ
08854-8053
US

V. Phone/Fax

Practice location:
  • Phone: 848-202-2954
  • Fax:
Mailing address:
  • Phone: 732-947-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: