Provider Demographics
NPI:1003243122
Name:CASSARA CONSULTING
Entity Type:Organization
Organization Name:CASSARA CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-585-8400
Mailing Address - Street 1:1345 KUSER RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3823
Mailing Address - Country:US
Mailing Address - Phone:609-585-8400
Mailing Address - Fax:609-585-8401
Practice Address - Street 1:1345 KUSER RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3823
Practice Address - Country:US
Practice Address - Phone:609-585-8400
Practice Address - Fax:609-585-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ860613133V00000X
NJ86014045133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty