| Andrea N Anfuso Sisto, RDN | |
|
30 Prospect Ave, Wfan 3rd Floor, Hackensack, NJ 07601-1915 | |
| (551) 996-5329 | |
| (551) 996-0115 |
| Full Name | Andrea N Anfuso Sisto |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467587709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 838993 (* (Not Available)) | Primary |
| Provider Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea N Anfuso Sisto, RDN 331 Newman Springs Road, Bldg. 2, Suite 220, Red Bank, NJ 07701 Ph: (732) 807-0877 | Andrea N Anfuso Sisto, RDN 30 Prospect Ave, Wfan 3rd Floor, Hackensack, NJ 07601-1915 Ph: (551) 996-5329 |
Jacqueline Pollack, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 Clinton Pl, Suite 2, Hackensack, NJ 07601 Phone: 201-880-9400 Fax: 866-391-3047 | |
Mrs. Lynette Marlene Hem-lee, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2 University Plz Ste 100, Hackensack, NJ 07601 Phone: 201-744-7749 Fax: 201-742-6304 | |
Carrie J Kelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Prospect Ave, Hackensack, NJ 07601 Phone: 201-487-4600 | |
Lynda Rosini, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5313 | |
Mrs. Angela Samuels, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5235 Fax: 551-996-5176 | |
Stefanie Jaskot, RDN, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Fl 3, Hackensack, NJ 07601 Phone: 551-996-2000 |