NPIMap

Organization Active NPI

Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC

  • Registered Dietitian
  • Wyckoff, NJ
National Provider Identifier
1679024574
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1052250 Issued in NJ
Legal business name
MLT360 MEALS, LIFESTYLE, NUTRITION THERAPY, LLC
Practice address
465 W Main St
Wyckoff, NJ 07481-1453
Phone
(201) 693-7942
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan Triolo, RDNNPI 1164770939
Title
Registered Dietitian/Nutritionist
Phone
(201) 693-7942

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1052250 NJ Primary

Addresses

Primary practice location

465 W Main St
Wyckoff, NJ 07481-1453

Mailing address

59 Garibaldi Ave
2ND Floor
Lodi, NJ 07644-1805
Phone (201) 693-7942

National Provider Directory

National Provider Directory

Practitioners & 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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1679024574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GARIBALDI AVE",
            "address_2": "2ND FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441805",
            "telephone_number": "201-693-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W MAIN ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811453",
            "telephone_number": "201-693-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLT360 MEALS, LIFESTYLE, NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "TRIOLO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/NUTRITIONIST",
        "authorized_official_telephone_number": "201-693-7942",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1052250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.