ADILA ASIM FAKHAR


Address: 375 Mount Pleasant Ave, West Orange, NJ 07052-2750
Phone: 9737319442

ADILA ASIM FAKHAR (NPI# 1053824912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053824912
Entity Type Individual
Full Name ADILA ASIM FAKHAR
Credential RD
Practice Address 375 Mount Pleasant Ave
West Orange
NJ 07052-2750
Mailing Address 74 Shunpike Rd
Madison
NJ 07940-2720
Practice Telephone 9737319442
Mailing Telephone 9739985284
Enumeration Date 2017-11-14
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
375 Mount Pleasant Ave, West Orange, NJ 070522750 9737319442

Office Location

Street Address 375 MOUNT PLEASANT AVE
City WEST ORANGE
State NJ
Zip Code 07052-2750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760481493 Diagnostic & Clinical Cardiology, Pa Internal Medicine 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 2005-07-15
1487267480 Jolly M Kuruvilla Family Medicine 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 2020-08-28
1174153142 Patricia Ann Cortina Physical Therapist 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 2020-01-18
1306299300 Maria Villette Ganancial Nurse Practitioner 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 2016-07-14
1841668456 Urology Group of Nj LLC Urology 375 Mount Pleasant Ave, Suite 250, West Orange, NJ 07052-2750 2015-09-14
1295070811 Total Renal Care Inc Clinic/Center 375 Mount Pleasant Ave, Ste 340, West Orange, NJ 07052-2724 2012-12-07
1891061065 Victoria Christina Desantos Obstetrics & Gynecology 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 2012-04-01
1568734739 Associates In Obstetrics Gynecology and Infertility LLC Obstetrics & Gynecology 375 Mount Pleasant Ave, Suite 202, West Orange, NJ 07052-2724 2012-02-03
1225281272 Lisa G. Belinfanti Nurse Practitioner 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 2008-11-03
1861659476 James M Lopes Surgery 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 2008-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134730278 Robert Jason Lipka Pharmacist Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 2020-08-12
1790317378 Attain & Gain Counseling, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15 Ralph Road, West Orange, NJ 07052 2020-02-11
1508336140 Total Family Solutions, LLC Community/Behavioral Health 80 Main Street Suite 410, West Orange, NJ 07052 2018-11-27
1639660202 Valeria Ripa Student in an Organized Health Care Education/Training Program 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 2018-05-19
1316441967 Ariel Yehdua Pedoeem Student in an Organized Health Care Education/Training Program 139 Riverside Drive, Binghamton, NY 07052 2018-03-20
1407367576 Outpatient Usa Neurological Surgery 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 2017-10-17
1962911578 Anchor Behavioral Solutions LLC Community/Behavioral Health 59 Main St Ste 310, West Orange, NJ 07052 2017-09-26
1710400411 Rohma Shaikh Student in an Organized Health Care Education/Training Program 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 2017-07-25
1326571811 Celestina Enuma Clinical Nurse Specialist 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 2017-04-11
1073065777 Livia Derdova Optometrist 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 2016-10-28
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568079978 Matthew Carmen-wijbenga Dietitian, Registered 10 Tenney Rd, West Orange, NJ 07052-1316 2020-09-29
1871131045 Nicole Scott-harris Dietitian, Registered 470 Prospect Ave Ste 100, West Orange, NJ 07052-4106 2019-12-18
1710466438 Yorine Belizaire Dietitian, Registered 36 Rosemont Ter, West Orange, NJ 07052-2240 2018-08-13
1629585047 Rachel Sofi Lee Dietitian, Registered 101 Old Short Hills Rd Ste 211, West Orange, NJ 07052-1023 2018-01-08
1366797268 Colleen Ellen Johnson Dietitian, Registered 200 Mount Pleasant Ave, Apt. D2, West Orange, NJ 07052-4049 2012-07-17
1568528248 Jacqueline Frederick Dietitian, Registered 117 Elm St, West Orange, NJ 07052-5816 2006-12-28
1326568361 Gh Nutrition Services LLC Dietitian, Registered 383 Northfield Avenue, Suite 107, West Orange, NJ 07052 2017-06-21
1588039192 Kayla Pinzone Dietitian, Registered 101 Old Short Hills Rd, Suite 211, West Orange, NJ 07052-1000 2015-12-08
1558550459 Louraine Eagle Dietitian, Registered 769 Northfield Ave, Suite 140, West Orange, NJ 07052-1198 2007-10-17
1124213145 Danielle M Bevere Dietitian, Registered 769 Northfield Ave, Suite200, West Orange, NJ 07052-1198 2007-09-12
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Competitor

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City WEST ORANGE
Zip Code 07052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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