Active NPI
Alyssa Mitola, MS, RD, CEDRD, LD/N
- Registered Dietitian
- Florham Park, NJ
National Provider Identifier
1770097016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6980
- Practice address
- 25 Hanover Road
Building B Suite 120
Florham Park, NJ 07932-4082 - Phone
- (973) 886-1230
- NPI assigned
- Nov 22, 2017
- 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 | ND6980 | FL | Primary |
Addresses
Primary practice location
25 Hanover Road
Building B Suite 120
Florham Park, NJ 07932-4082
Mailing address
25 Hanover Road
Building B Suite 120
Florham Park, NJ 07932-4082
Phone (973) 886-1230
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6980 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alyssa Mitola Rd | Dietitian, Registered | Current | Accepting new patients |
Locations
25 Hanover Rd
Bldg B
Florham Park, NJ 07932
Phone (201) 284-8040
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1770097016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HANOVER ROAD",
"address_2": "BUILDING B SUITE 120",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079324082",
"telephone_number": "973-886-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HANOVER ROAD",
"address_2": "BUILDING B SUITE 120",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079324082",
"telephone_number": "973-886-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITOLA",
"first_name": "ALYSSA",
"credential": "MS, RD, CEDRD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2025-01-16",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.