Provider Demographics
NPI:1710991716
Name:ADESINA, ESTHER F (MS, RD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:F
Last Name:ADESINA
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-5647
Mailing Address - Country:US
Mailing Address - Phone:908-303-7949
Mailing Address - Fax:908-979-9797
Practice Address - Street 1:25 CRAIG PL
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4777
Practice Address - Country:US
Practice Address - Phone:908-303-7949
Practice Address - Fax:908-979-9797
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00890332133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ088901Medicare ID - Type Unspecified
NJQ37810Medicare UPIN