Active NPI
Diaeta Clinic- We Care
- Renal Nutrition Registered Dietitian
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sobha Malla, RDN, CDCES
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Renal Nutrition Registered Dietitian
- Randolph, NJ
- NPI 1801286240
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.