Provider Demographics
NPI:1386855971
Name:NUTRITION & DIET CONSULTANTS INC
Entity Type:Organization
Organization Name:NUTRITION & DIET CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POONAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD,CDE
Authorized Official - Phone:908-561-3444
Mailing Address - Street 1:14 GREENSVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2734
Mailing Address - Country:US
Mailing Address - Phone:908-561-3444
Mailing Address - Fax:908-561-5062
Practice Address - Street 1:904 OAK TREE AVE
Practice Address - Street 2:SUITE M
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5126
Practice Address - Country:US
Practice Address - Phone:908-561-3444
Practice Address - Fax:908-561-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ376006133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ053074Medicare PIN