Provider Demographics
NPI:1306360482
Name:METAFIT COMPLETE, LLC
Entity Type:Organization
Organization Name:METAFIT COMPLETE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:917-509-0903
Mailing Address - Street 1:137 1/2 WASHINGTON AVE STE 236
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2598
Mailing Address - Country:US
Mailing Address - Phone:917-509-0903
Mailing Address - Fax:
Practice Address - Street 1:610 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2553
Practice Address - Country:US
Practice Address - Phone:973-707-2489
Practice Address - Fax:973-707-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86023199133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty