Provider Demographics
NPI:1578636916
Name:POSNER, PAMELA (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:POSNER
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:GREENHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:200 S ORANGE AVE
Mailing Address - Street 2:SUITE 123
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5817
Mailing Address - Country:US
Mailing Address - Phone:973-322-7265
Mailing Address - Fax:973-322-7254
Practice Address - Street 1:200 S ORANGE AVE
Practice Address - Street 2:SUITE 123
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5817
Practice Address - Country:US
Practice Address - Phone:973-322-7265
Practice Address - Fax:973-322-7254
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ816835133V00000X
133NN1002X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic