Provider Demographics
NPI:1376913285
Name:YORKIN, MEREDITH J (RDN)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:J
Last Name:YORKIN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 POMPTON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2938
Mailing Address - Country:US
Mailing Address - Phone:555-555-5555
Mailing Address - Fax:877-844-4791
Practice Address - Street 1:25 POMPTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2938
Practice Address - Country:US
Practice Address - Phone:555-555-5555
Practice Address - Fax:877-844-4791
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1081413133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered