Active NPI
Esther Reynoso, MS RDN
- Registered Dietitian
- West Orange, NJ
National Provider Identifier
1760104780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010232
- Practice address
- 393 Northfield Ave
West Orange, NJ 07052-3001 - Phone
- (862) 520-5090
- Fax
- (862) 520-5097
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 010232 | NY | Primary |
Addresses
Primary practice location
393 Northfield Ave
West Orange, NJ 07052-3001
Mailing address
308 Willow Ave
Hoboken, NJ 07030-3808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1760104780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523001",
"telephone_number": "862-520-5090",
"fax_number": "862-520-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "ESTHER",
"credential": "MS RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.