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Contact Information

DIABETES MANAGEMENT SERVICES, LLC
261 OLD HOOK RD
WESTWOOD, NJ07675-3102
 Phone: 845-598-7204
 Fax: 845-201-8319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for DIABETES MANAGEMENT SERVICES LLC · (Female)

NPI Number 1154579746
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2008
Last updated 04/10/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 26NC07813500
  • NJ Other 127863 PTAN
  • NY Other 569991 PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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