Organization Active NPI

Diaeta Clinic- We Care

  • Renal Nutrition Registered Dietitian
  • Morristown, NJ
National Provider Identifier
1700271202
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
DIAETA CLINIC- WE CARE
Practice address
290 Madison Ave
Morristown, NJ 07960-7400
Phone
(315) 834-2682
NPI assigned
Apr 1, 2015
Last updated
Mar 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Authorized official

Name
Sobha Malla, RDN, CDCESNPI 1801286240
Title
Registered Dietitian
Phone
(510) 792-2652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X NU Primary

Addresses

Primary practice location

290 Madison Ave
Morristown, NJ 07960-7400

Mailing address

121 Center Grove Rd
Randolph, NJ 07869-4453
Phone (315) 834-2682

Other practice location 1

1096 Scenic Gulf Dr Ph 1602
Miramar Beach, FL 32550-7015
Phone (315) 834-2682

National Provider Directory

National Provider Directory

Locations

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1700271202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "315-834-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607400",
            "telephone_number": "315-834-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1096 Scenic Gulf Dr Ph 1602",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325507015",
            "country_code": "US",
            "telephone_number": "315-834-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAETA CLINIC- WE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-03-24",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MALLA",
        "authorized_official_first_name": "SOBHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "510-792-2652",
        "authorized_official_credential": "RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; 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.