Alessandra Taylor, MS, CNS
Individual provider Active NPI Nutritionist · Leonia, NJ
NPI 1245064146 · NPPES record last updated Sep 2, 2024
Key facts
- NPI
- 1245064146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 198 Moore Ave
Leonia, NJ 07605-2010 - Phone
- (917) 742-0771
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NJ | Yes |
Addresses
Primary practice location
198 Moore Ave
Leonia, NJ 07605-2010
Mailing address
198 Moore Ave
Leonia, NJ 07605-2010
Phone (917) 742-0771
Other providers in Leonia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2024. 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.