Sid Iii,llc is a
Dietitian, Registered based in West Berlin, New Jersey. Sid Iii,llc is licensed to practice in Pennsylvania (license number DN005313) and their current practice location is
545 N Route 73, West Berlin, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(856) 753-1800.
NPI number for Sid Iii,llc is 1508317801 and their current mailing address is P.o. Box 18, West Berlin, New Jersey. Sid Iii,llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508317801.
Healthcare Provider's Profile
Full Name | Sid Iii,llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 545 N Route 73, West Berlin, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508317801
- Provider Enumeration Date: 10/21/2016
- Last Update Date: 10/21/2016
Medical Identifiers
Medical identifiers for Sid Iii,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508317801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN005313 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sid Iii,llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sid Iii,llc P.o. Box 18, West Berlin, NJ 08091 Ph: (856) 753-1800 | Sid Iii,llc 545 N Route 73, West Berlin, NJ 08091-9242 Ph: (856) 753-1800 |
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