Provider Demographics
NPI:1134612518
Name:TOMAINO, TARA G (RD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:G
Last Name:TOMAINO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:GERKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:80 MILL RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1637
Mailing Address - Country:US
Mailing Address - Phone:908-285-3472
Mailing Address - Fax:
Practice Address - Street 1:200 CONNELL DR
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2805
Practice Address - Country:US
Practice Address - Phone:908-673-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered