Center For Medical Nutrition Therapy Llc is a medicare enrolled "Dietitian, Registered" provider in Bergenfield, New Jersey. Their current practice location is
26 Byrne Pl, Bergenfield, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(551) 486-6604.
Center For Medical Nutrition Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Center For Medical Nutrition Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114357019.
Healthcare Provider's Profile
| Full Name | Center For Medical Nutrition Therapy Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 26 Byrne Pl, Bergenfield, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114357019
- Provider Enumeration Date: 11/14/2013
- Last Update Date: 06/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375864499
- Enrollment ID: O20150602000226
Medical Identifiers
Medical identifiers for Center For Medical Nutrition Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114357019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Center For Medical Nutrition Therapy Llc acts as a billing entity for following providers:
| Provider Name | Marilyn R Quintana |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1548489529
PECOS PAC ID: 9335226703
Enrollment ID: I20080409000460 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Center For Medical Nutrition Therapy Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Center For Medical Nutrition Therapy Llc
26 Byrne Pl,
Bergenfield, NJ 07621-1002
Ph: (551) 486-6604 | Center For Medical Nutrition Therapy Llc
26 Byrne Pl,
Bergenfield, NJ 07621-1002
Ph: (551) 486-6604 |
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