Active NPI
Therealisticdietitian LLC
- Registered Dietitian
- Mullica Hill, NJ
National Provider Identifier
1053102426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THEREALISTICDIETITIAN LLC
- Practice address
- 107 Willow Oaks LN
Mullica Hill, NJ 08062-4535 - Phone
- (609) 280-9353
- NPI assigned
- May 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia Ursino
- Title
- Owner
- Phone
- (609) 280-9353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
107 Willow Oaks LN
Mullica Hill, NJ 08062-4535
Mailing address
107 Willow Oaks LN
Mullica Hill, NJ 08062-4535
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1053102426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WILLOW OAKS LN",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WILLOW OAKS LN",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624535",
"telephone_number": "609-280-9353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEREALISTICDIETITIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "URSINO",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-280-9353"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.