| Madalyn Diabetes Nutrition Llc | |
|
18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642 | |
| (862) 262-8326 | |
| (973) 333-4070 |
| Full Name | Madalyn Diabetes Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 18-20 Lackawanna Plz Ste 200, Montclair, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639839087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Madalyn Vasquez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457824120 PECOS PAC ID: 3274873625 Enrollment ID: I20200203001794 |
| Mailing Address | Practice Location Address |
|---|---|
| Madalyn Diabetes Nutrition Llc 459 6th Ave, Paterson, NJ 07514-2282 Ph: (862) 262-8326 | Madalyn Diabetes Nutrition Llc 18-20 Lackawanna Plz Ste 200, Montclair, NJ 07042-3642 Ph: (862) 262-8326 |
Jennifer Melanson, MA, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Woodmont Rd, Montclair, NJ 07043 Phone: 646-554-5425 | |
Mrs. Christina M Kamilaris, RDN, CDN, CSSD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 408 Grove St, Montclair, NJ 07043 Phone: 201-527-8180 | |
Emily Field, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 124 Valley Rd Apt J, Montclair, NJ 07042 Phone: 952-240-4821 | |
Mrs. Samantha Russomano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51 S Park St Apt 302, Montclair, NJ 07042 Phone: 862-703-9379 | |
Foodtrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 46 Montclair Ave, Montclair, NJ 07042 Phone: 845-590-5909 | |
Audrey Laurelton, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 427 Bloomfield Ave, Suite 406, Montclair, NJ 07042 Phone: 973-744-3555 | |
Nicole Bennett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Central Ave # L, Montclair, NJ 07042 Phone: 973-452-2303 |