Michiko Tomioka, MBA, RDN, IFNCP

Individual provider Active NPI Registered Dietitian · Demarest, NJ

NPI 1336717859 · NPPES record last updated Jun 11, 2021

Key facts

NPI
1336717859
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
71 Everett Rd
Demarest, NJ 07627-1228
Phone
(551) 216-4761
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Michi Nutrition Dietitian, Registered Current
since Jun 15, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

71 Everett Rd
Demarest, NJ 07627-1228

Mailing address

71 Everett Rd
Demarest, NJ 07627-1228
Phone (201) 220-0041

Other providers in Demarest, NJ

All providers in Demarest, NJ · Registered Dietitian in New Jersey

Sources for this page

Verify at the official NPI Registry.