Suzanne Elizabeth Hertz, RDN
Individual provider Active NPI Registered Dietitian · Stockton, NJ
NPI 1619645215 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1619645215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 890724 (NY)
- Practice address
- 66 Dunkard Church Rd
Stockton, NJ 08559-1405 - Phone
- (646) 522-9550
- NPI assigned
- Aug 31, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890724 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 890724 | NY | Yes |
Addresses
Primary practice location
66 Dunkard Church Rd
Stockton, NJ 08559-1405
Mailing address
66 Dunkard Church Rd
Stockton, NJ 08559-1405
Phone (646) 522-9550
Other providers in Stockton, NJ
- Stuart H Freedenfeld
- Douglas Mitchell Graiver
- Andrea Gurba
- Arden Hawes
- David Herbel
- Daniela Hidalgo Flores
- Sally Kydd
- Sharon Clare McGeady
- Janet Patricia McMahon
- Aaron Patrick Millman
All providers in Stockton, 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 Aug 31, 2021. 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.