Provider Demographics
NPI:1134941099
Name:THS NUTRITIONAL NAVIGATORS
Entity type:Organization
Organization Name:THS NUTRITIONAL NAVIGATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMEON
Authorized Official - Middle Name:
Authorized Official - Last Name:MERTYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-346-5380
Mailing Address - Street 1:123 HIGHLAND AVE STE G2
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1522
Mailing Address - Country:US
Mailing Address - Phone:862-346-5380
Mailing Address - Fax:908-652-9230
Practice Address - Street 1:123 HIGHLAND AVE STE G2
Practice Address - Street 2:
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1522
Practice Address - Country:US
Practice Address - Phone:862-346-5380
Practice Address - Fax:908-652-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty