Provider Demographics
NPI:1770105421
Name:RINALDI, JAMIE E (RD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:E
Last Name:RINALDI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRAMBLE CT
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1240
Mailing Address - Country:US
Mailing Address - Phone:973-970-0737
Mailing Address - Fax:
Practice Address - Street 1:12 BRAMBLE CT
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1240
Practice Address - Country:US
Practice Address - Phone:973-970-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ893991133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered