Alexandria Devito

Individual provider Active NPI Nutritionist · River Edge, NJ

NPI 1922553718 · NPPES record last updated Aug 22, 2016

Key facts

NPI
1922553718
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
Practice address
335 Johnson Ave
River Edge, NJ 07661-1921
Phone
(646) 780-9525
NPI assigned
Aug 22, 2016
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Yes

Addresses

Primary practice location

335 Johnson Ave
River Edge, NJ 07661-1921

Mailing address

335 Johnson Ave
River Edge, NJ 07661-1921
Phone (646) 780-9525

Other providers in River Edge, NJ

All providers in River Edge, NJ · Nutritionist in New Jersey

Sources for this page

Verify at the official NPI Registry.