| Slm Nutrition, Llc | |
|
330 Grand St, Suite 100, Hoboken, NJ 07030-2728 | |
| (201) 637-2631 | |
| (973) 696-2433 |
| Full Name | Slm Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 330 Grand St, Hoboken, 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 |
|---|---|---|---|
| 1861670671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 871383 (New Jersey) | Primary |
| Provider Name | Susana Mendelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164510657 PECOS PAC ID: 3072540509 Enrollment ID: I20050726000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Slm Nutrition, Llc Po Box 413, Lincoln Park, NJ 07035-0413 Ph: (201) 637-2631 | Slm Nutrition, Llc 330 Grand St, Suite 100, Hoboken, NJ 07030-2728 Ph: (201) 637-2631 |
Giuseppina Dilena, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 201-418-1143 | |
Therese Bonanni, Dietitian Medicare: Medicare Enrolled Practice Location: 720 Monroe St Ste E512, Hoboken, NJ 07030 Phone: 917-647-1557 | |
Miss Kirsten N Yili, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 908-307-2233 | |
Alexandra Elizabeth Balbontin, RD Dietitian Medicare: Medicare Enrolled Practice Location: 720 Monroe St Ste E512, Hoboken, NJ 07030 Phone: 917-647-1557 | |
Melissa Connor, MA, RDN/ LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Monroe St Ste E512, Hoboken, NJ 07030 Phone: 917-647-1557 | |
Susana L Mendelson, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 330 Grand St, Suite 100, Hoboken, NJ 07030 Phone: 201-637-2631 Fax: 973-696-2433 | |
Paul Nocco, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 720 Monroe St Ste E512, Hoboken, NJ 07030 Phone: 914-715-9001 |