Provider Demographics
NPI:1841431905
Name:OKEY NUTRITION CONSULTING
Entity Type:Organization
Organization Name:OKEY NUTRITION CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHUKWUKA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:973-444-8181
Mailing Address - Street 1:80 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3240
Mailing Address - Country:US
Mailing Address - Phone:973-444-8181
Mailing Address - Fax:973-763-6220
Practice Address - Street 1:1787 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2941
Practice Address - Country:US
Practice Address - Phone:973-444-8181
Practice Address - Fax:973-763-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ974378133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty