Provider Demographics
NPI:1033621529
Name:NUTRITION PERSPECTIVE LLC
Entity Type:Organization
Organization Name:NUTRITION PERSPECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRPITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-303-6727
Mailing Address - Street 1:1585 SPRINGFIELD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2857
Mailing Address - Country:US
Mailing Address - Phone:201-210-5420
Mailing Address - Fax:201-586-0313
Practice Address - Street 1:1585 SPRINGFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2857
Practice Address - Country:US
Practice Address - Phone:201-210-5420
Practice Address - Fax:201-586-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty