| Tida Pradith Coralluzzo, RD | |
|
66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930 | |
| (917) 837-0598 | |
| (973) 740-8932 |
| Full Name | Tida Pradith Coralluzzo |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 5 Years |
| Location | 66 W Mount Pleasant Ave Ste 205, Livingston, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073456422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86010561 (New Jersey) | Primary |
| Provider Name | Elysa Dinzes Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659903870 PECOS PAC ID: 0345678934 Enrollment ID: O20200313000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Tida Pradith Coralluzzo, RD 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930 Ph: (917) 837-0598 | Tida Pradith Coralluzzo, RD 66 W Mount Pleasant Ave Ste 205, Livingston, NJ 07039-2930 Ph: (917) 837-0598 |
Jill Montag, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3 Knollwood Dr, Livingston, NJ 07039 Phone: 973-865-9259 |
Leslie Killeen, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 75 E Northfield Rd, Livingston, NJ 07039 Phone: 973-436-1450 Fax: 908-964-5718 |
Margaret Masiello, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-322-7007 Fax: 973-322-7528 |
Jennifer Gargiulo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-322-7073 Fax: 973-322-7528 |
Mrs. Deanna Schweighardt, REGISTERED DIETITIAN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-322-7966 |
Abby Blaustein, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-322-7073 Fax: 973-322-7528 |
Mrs. Apinder K. Grewal, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22 Spier Dr., Livingston, NJ 07039 Phone: 609-941-6002 |