Teaching Fenix Rdn Cafe Llc

LBN: Teaching Fenix Rdn Cafe Llc
Teaching Fenix Rdn Cafe Llc is an health care organization with primary practice located at 100 Enterprise Dr Ste 301 , Rockaway NJ 07866-2129. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as the primary health care specialty. Teaching Fenix Rdn Cafe Llc can be contacted via phone (973) 206-2130, or through Lopez-Pettorino, Cynthia L via phone (973) 206-2130.

Contact Information

Primary practice address
100 Enterprise Dr Ste 301 Rockaway NJ 07866-2129
Phone: (973) 206-2130
Fax: (973) 385-1650
Website:
Map and Directions
Authorized official contact:
Name: Lopez-Pettorino, Cynthia L RDN, CDE
Phone: (973) 206-2130

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1427683192
LBN Legal business name Teaching Fenix Rdn Cafe Llc
DBA Doing business as
Authorized official Lopez-Pettorino, Cynthia L RDN, CDE
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Oct 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427683192 NPPES
New Jersey Other 1376849117 TYPE 1 NPI FOR CYNTHIA L LOPEZ-PETTORINO

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