Ilyse G Berger, R.D.
Individual provider Active NPI Registered Dietitian · Dover, NJ
NPI 1154510964 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1154510964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00981040 (NJ)
- Practice address
- 400 West Blackwell Street
Saint Clare'S Hospital
Dover, NJ 07801 - Phone
- (973) 989-3000
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00981040 | NJ | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00981040 | NJ | Yes |
Addresses
Primary practice location
400 West Blackwell Street
Saint Clare'S Hospital
Dover, NJ 07801
Mailing address
47 Riverside Dr
Denville, NJ 07834-2153
Phone (973) 519-9167
Other providers in Dover, NJ
- Lara J Barry
- Bayada Home Health Care, Inc.
- James Bellamy
- Barry Stephen Benerofe
- Sari Bentsianov
- Maria F Berke
- Stephen Bigelsen
- Bio-Medical Applications of New Jersey, Inc.
- Douglas Scott Bishop
- Louis Roger Bouillon
All providers in Dover, NJ · Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.