Provider Demographics
NPI:1912062555
Name:SOHMER, JOSETTE DESIREE (MS RD)
Entity Type:Individual
Prefix:MRS
First Name:JOSETTE
Middle Name:DESIREE
Last Name:SOHMER
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4741
Mailing Address - Country:US
Mailing Address - Phone:908-889-5105
Mailing Address - Fax:908-889-5105
Practice Address - Street 1:10 OXFORD RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4741
Practice Address - Country:US
Practice Address - Phone:908-889-5105
Practice Address - Fax:908-889-5105
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ054147Medicare ID - Type UnspecifiedREGISTERED DIETITIAN