Provider Demographics
NPI:1710350269
Name:ENGLAND, ELISA M (RDN)
Entity Type:Individual
Prefix:MISS
First Name:ELISA
Middle Name:M
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:M
Other - Last Name:SCAFUTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1049 DELLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08836-2311
Mailing Address - Country:US
Mailing Address - Phone:908-672-4001
Mailing Address - Fax:
Practice Address - Street 1:22 PEAPACK RD
Practice Address - Street 2:
Practice Address - City:FAR HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07931-2437
Practice Address - Country:US
Practice Address - Phone:908-234-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86008360133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered