| Nutricultures | |
|
654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110 | |
| (201) 207-2158 | |
| Not Available |
| Full Name | Nutricultures |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 654 Mount Prospect Ave Ste 302, Newark, 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 |
|---|---|---|---|
| 1194284844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
| Provider Name | Mercy K. Edziah |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881152510 PECOS PAC ID: 6800139346 Enrollment ID: I20190523002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutricultures 274 S Orange Ave Fl 3, Newark, NJ 07103-2419 Ph: (201) 207-2158 | Nutricultures 654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110 Ph: (201) 207-2158 |
Sarah Stites, RD Dietitian Medicare: Medicare Enrolled Practice Location: 166 Lyons Ave, Newark, NJ 07112 Phone: 973-926-2884 Fax: 973-926-2978 | |
Silvana Panfili, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-2444 | |
Nada Mays, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 142 Lafayette St, Newark, NJ 07105 Phone: 929-318-5335 | |
Ms. Josefina G Velez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1160 Raymond Blvd, 4th Floor, Newark, NJ 07102 Phone: 973-639-5017 Fax: 973-596-4105 | |
Gocopetra Care Consultant Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 Norwood St, Newark, NJ 07106 Phone: 201-491-9972 Fax: 973-324-2218 | |
Mrs. Rachel Ellen Teneralli, MS, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-4607 Fax: 973-926-6288 |