Provider Demographics
NPI:1902386154
Name:NATURALSOLUTIONSRD LLC
Entity Type:Organization
Organization Name:NATURALSOLUTIONSRD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SONAL
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD
Authorized Official - Phone:732-895-9924
Mailing Address - Street 1:15 ENTERPRISE CT APT 202
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-6405
Mailing Address - Country:US
Mailing Address - Phone:732-895-9924
Mailing Address - Fax:
Practice Address - Street 1:862 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3054
Practice Address - Country:US
Practice Address - Phone:732-895-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty