Barbara Bergen Mintz in Newark - Dietitian, Registered

Barbara Bergen Mintz - NPI 1063567287

Barbara Bergen Mintz is a Dietitian, Registered in Newark, New Jersey. Barbara Bergen Mintz practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Barbara Bergen Mintz is 1063567287. The last update date is 2007-07-08.

Barbara Bergen Mintz's current location address is 201 Lyons Ave, Newark, New Jersey. You can contact this provider via phone number 9739262663 and fax number 9739266288. The mailing address for Barbara Bergen Mintz is 201 Lyons Ave, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Barbara Bergen Mintz
Address 201 Lyons Ave, Newark, New Jersey
Phone Number 9739262663
Fax Number 9739266288
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1063567287
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 201 Lyons Ave
City Newark
State New Jersey (NJ)
Post Code 7112
Phone Number 9739262663
Fax Number 9739266288

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 842413
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3309246 NJ AETNA US HEALTH
238897 NJ AMERIGROUP
OXFORD HEALTH P NJ P3030430

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FAQs about Barbara Bergen Mintz

What is the Barbara Bergen Mintz's unique identification number?

The Barbara Bergen Mintz has been assigned the NPI (National Provider Identifier) Number 1063567287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Barbara Bergen Mintz is physically located?

The Barbara Bergen Mintz is physically situated at the following address: 201 Lyons Ave, Newark, NJ, 7112.

What is Barbara Bergen Mintz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Barbara Bergen Mintz is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063567287 to Barbara Bergen Mintz?

The Centers for Medicare & Medicaid Services assigned the 1063567287 to Barbara Bergen Mintz on 2007-01-25.

As of what date were the Barbara Bergen Mintz's details last updated?

The information pertaining to the Barbara Bergen Mintz, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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