MEDICARE: MS. CYNTHIA L LOPEZ-PETTORINO RDN, CDCES

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
1	133V00000X	Registered Dietitian	848821	NJ

General Provider Information

NPI Number	:	1376849117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA L LOPEZ-PETTORINO RDN, CDCES

Provider Business Mailing Address
First Line	:	100 ENTERPRISE DR STE 301
Second Line	:	ATTENTION: TEACHING FENIX RDN CAFE LLC
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2129
Country	:	US
Telephone Number	:	973-206-2130
Fax Number	:	973-385-1650

Provider Business Practice Location Address
First Line	:	100 ENTERPRISE DR STE 301
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2129
Country	:	US
Telephone Number	:	973-206-2130
Fax Number	:	973-385-1650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2011
Last Update Date	:	02/20/2024

Similar Medicare Providers

1285014639 — MARY EFOBI
Practice Location Address:

100 ENTERPRISE DR STE 301
ROCKAWAY, NJ
07866-2129

Practice Phone: 973-791-9365
Practice Fax:

1598855603 — MS. LEE ANN CIANCI-MORRIS LPC, LCADC
Practice Location Address:

100 ENTERPRISE DR STE 301
ROCKAWAY, NJ
07866-2129

Practice Phone: 862-781-6141
Practice Fax: 862-781-6147

1134388077 — COMPASSIONATE CARE HOSPICE OF NORTHERN NEW JERSEY, LLC
Practice Location Address:

100 ENTERPRISE DR STE 110
ROCKAWAY, NJ
07866-2129

Practice Phone: 973-726-7510
Practice Fax: 973-726-3855

1366788903 — HEATHER SHASA MS, RD
Practice Location Address:

100 ENTERPRISE DR STE 301
ROCKAWAY, NJ
07866-2129

Practice Phone: 908-402-4988
Practice Fax:

1730515792 — POLARIS SPECIALTY PHARMACY LLC
Practice Location Address:

100 ENTERPRISE DR STE 501
ROCKAWAY, NJ
07866-2129

Practice Phone: 866-295-3015
Practice Fax: 201-313-9798

1982123352 — MARANYELIN QUEZADA
Practice Location Address:

100 ENTERPRISE DRIVE, SUITE 301
ROCKAWAY, NJ
07866-2129

Practice Phone: 855-832-6727
Practice Fax:

Directions to “ MS. CYNTHIA L LOPEZ-PETTORINO RDN, CDCES” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.