Healthcare Provider Details

I. General information

NPI: 1811578099
Provider Name (Legal Business Name): MEREDITH ROFHEART MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HEMLOCK HILL RD
UPPER SADDLE RIVER NJ
07458-1208
US

IV. Provider business mailing address

8 HEMLOCK HILL RD
UPPER SADDLE RIVER NJ
07458-1208
US

V. Phone/Fax

Practice location:
  • Phone: 201-887-2584
  • Fax:
Mailing address:
  • Phone: 201-887-2584
  • 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: