Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM - Nutritionist in Dumont, NJ

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Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM is a Nutritionist - Nutrition, Education based in Dumont, New Jersey. Kathy Ellarene Novella Proctor is licensed to practice in * (Not Available) (license number ) and her current practice location is 182 E Linden Ave, Dumont, New Jersey. She can be reached at her office (for appointments etc.) via phone at (646) 401-3115.

NPI number for Kathy Ellarene Novella Proctor is 1962121251 and her current mailing address is 182 E Linden Ave, Dumont, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962121251.

Contact Information

Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM
182 E Linden Ave,
Dumont, NJ 07628-1916
(646) 401-3115
(201) 330-4645

Map and Direction




Provider's Profile

Full NameKathy Ellarene Novella Proctor
GenderFemale
SpecialityNutritionist - Nutrition, Education
Location182 E Linden Ave, Dumont, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962121251
  • Provider Enumeration Date: 08/22/2022
  • Last Update Date: 02/25/2024

Medical Identifiers

Medical identifiers for Kathy Ellarene Novella Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962121251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management 26NR22095100 (New Jersey)Secondary
163WC0400XRegistered Nurse - Case Management 543566 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
133NN1002XNutritionist - Nutrition, Education (* (Not Available))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. Kathy Ellarene Novella Proctor 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 AddressPractice Location Address
Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM
182 E Linden Ave,
Dumont, NJ 07628-1916

Ph: (646) 401-3115		Kathy Ellarene Novella Proctor, MS, BSN, RN- CCM
182 E Linden Ave,
Dumont, NJ 07628-1916

Ph: (646) 401-3115

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.