Provider Demographics
NPI:1831886795
Name:MAKING WAVES NUTRITION
Entity type:Organization
Organization Name:MAKING WAVES NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLASHEWICH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:732-977-9348
Mailing Address - Street 1:801 BANGS AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3060
Mailing Address - Country:US
Mailing Address - Phone:732-977-9348
Mailing Address - Fax:
Practice Address - Street 1:3600 ROUTE 66 STE 150
Practice Address - Street 2:
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753-2645
Practice Address - Country:US
Practice Address - Phone:732-233-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty