Provider Demographics
NPI:1356402721
Name:SPERBER, HELEN EVE (RD CDN)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:EVE
Last Name:SPERBER
Suffix:
Gender:F
Credentials:RD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 ELM AVENUE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-803-7945
Mailing Address - Fax:201-836-4761
Practice Address - Street 1:259 ELM AVENUE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-803-7945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ866924133V00000X
NY005326 1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0278213OtherCIGNA
NJP36441306OtherOXFORD
NJ7632744OtherAETNA
NY7632744OtherAETNA
NYP36441306OtherOXFORD
NJ0278213OtherCIGNA