Alexandra Gillespie, MS, RD

Individual provider Active NPI Registered Dietitian · West Milford, NJ

NPI 1740759752 · NPPES record last updated Nov 19, 2018

Key facts

NPI
1740759752
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86086798 (NJ)
Practice address
203 High Crest Dr
West Milford, NJ 07480-3709
Phone
(973) 897-8606
NPI assigned
Nov 19, 2018
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86086798NJMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86086798 NJ Yes

Addresses

Primary practice location

203 High Crest Dr
West Milford, NJ 07480-3709

Mailing address

203 High Crest Dr
West Milford, NJ 07480-3709
Phone (973) 897-8606

Other providers in West Milford, NJ

All providers in West Milford, NJ · Registered Dietitian in New Jersey

Sources for this page

Verify at the official NPI Registry.