Provider Demographics
NPI:1629318936
Name:MARCY MR RABINOWITZ,MA,RD,LLC
Entity Type:Organization
Organization Name:MARCY MR RABINOWITZ,MA,RD,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:856-354-9100
Mailing Address - Street 1:1415 MARLTON PIKE EAST, SUITE #401
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:856-428-3304
Practice Address - Street 1:1415 MARLTON PIKE E STE 401
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2210
Practice Address - Country:US
Practice Address - Phone:856-354-9100
Practice Address - Fax:856-428-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ487002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097395Medicare UPIN