Justine Dellatte, RDN | |
92 Bridge Ave Ste 202, Bay Head, NJ 08742-5068 | |
(732) 701-7126 | |
Not Available |
Full Name | Justine Dellatte |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 92 Bridge Ave Ste 202, Bay Head, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023745221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86085171 (New York) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Justine Dellatte, RDN 21 Van Orden Ave, Suffern, NY 10901-6330 Ph: (845) 596-8615 | Justine Dellatte, RDN 92 Bridge Ave Ste 202, Bay Head, NJ 08742-5068 Ph: (732) 701-7126 |
Abigail Porch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 92 Bridge Ave Ste 202, Bay Head, NJ 08742 Phone: 732-701-7126 | |
Chandler Patricia Ray, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 92 Bridge Ave Ste 202, Bay Head, NJ 08742 Phone: 732-586-3575 | |
Lynn O'hara, MS, RD, LPC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 571 W Lake Ave, Suite 6, Bay Head, NJ 08742 Phone: 732-899-9312 Fax: 732-899-8191 | |
Chandler Ray, Rdn Llc Dietitian Medicare: Medicare Enrolled Practice Location: 92 Bridge Ave Ste 202, Bay Head, NJ 08742 Phone: 732-701-7126 |