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NPI Code Detail

MEDICARE: ERIN LONG NUTRITION, LLC

MEDICARE: ERIN LONG NUTRITION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1033077748
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIN LONG NUTRITION, LLC
Provider Business Mailing Address
First Line : 10 SAND SPRING RD
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-7152
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 SAND SPRING RD
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-7152
Country : US
Telephone Number : 732-893-7216
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ERIN LONG
Credential : RD
Telephone Number : 973-727-8546
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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