Provider Demographics
NPI:1497238653
Name:SCOTTO, ALEXA LEIGH (RDN)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:LEIGH
Last Name:SCOTTO
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 1:28 CHAMBER LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2815
Mailing Address - Country:US
Mailing Address - Phone:732-272-7948
Mailing Address - Fax:
Practice Address - Street 1:28 CHAMBER LN
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2815
Practice Address - Country:US
Practice Address - Phone:732-272-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty