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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

NPI # 1154579746
LBN Legal business name DIABETES MANAGEMENT SERVICES, LLC
Authorized official KATHY TIGUE - (DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2008
Last updated 04/10/2020 - About 6 years ago
Identifiers
NJ License # 26NC07813500
NJ Other 127863 PTAN
NY Other 569991 PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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