Provider Demographics
NPI:1306182944
Name:NUTRITION IS TODAY'S INTELLIGENCE, LLC
Entity Type:Organization
Organization Name:NUTRITION IS TODAY'S INTELLIGENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NITI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-974-1217
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-0412
Mailing Address - Country:US
Mailing Address - Phone:917-974-1217
Mailing Address - Fax:
Practice Address - Street 1:23-08 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1583
Practice Address - Country:US
Practice Address - Phone:917-974-1217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-01
Last Update Date:2013-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
980115133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty