Ms Courtney Lee Gravenese, MS, RD - Dietitian in Montclair, NJ

Ms Courtney Lee Gravenese, MS, RD is a Dietitian, Registered based in Montclair, New Jersey. Ms Courtney Lee Gravenese is licensed to practice in New York (license number 005045-1) and her current practice location is 460 Bloomfield Ave, Montclair, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 734-0780.

NPI number for Ms Courtney Lee Gravenese is 1912064239 and her current mailing address is 92 Hillside Ave, Verona, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912064239.

Contact Information

Ms Courtney Lee Gravenese, MS, RD
460 Bloomfield Ave,
Montclair, NJ 07042-3582
(973) 734-0780
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Courtney Lee Gravenese
GenderFemale
SpecialityDietitian, Registered
Location460 Bloomfield Ave, Montclair, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912064239
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Courtney Lee Gravenese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912064239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 005045-1 (New York)Primary

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. Ms Courtney Lee Gravenese is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Courtney Lee Gravenese, MS, RD
92 Hillside Ave,
Verona, NJ 07044-1023

Ph: (646) 373-3651
Ms Courtney Lee Gravenese, MS, RD
460 Bloomfield Ave,
Montclair, NJ 07042-3582

Ph: (973) 734-0780

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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