Healthcare Provider Details

I. General information

NPI: 1881361590
Provider Name (Legal Business Name): HAPPY HEALTH NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PINE RIDGE DR
SUMMIT NJ
07901-2437
US

IV. Provider business mailing address

9 PINE RIDGE DR
SUMMIT NJ
07901-2437
US

V. Phone/Fax

Practice location:
  • Phone: 609-705-3725
  • Fax:
Mailing address:
  • Phone: 609-705-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: LAUREN BUDD LEVY
Title or Position: REGISTERED DIETITIAN NUTRITIONIST
Credential: MS, RDN, LD, CSR
Phone: 609-705-3725