MRS. REGINA BAKSHIYEV


Address: 13-51 River Rd Ste B, Fair Lawn, NJ 07410
Phone: 2013980020

MRS. REGINA BAKSHIYEV (NPI# 1366617276) 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) 1366617276
Entity Type Individual
Full Name MRS. REGINA BAKSHIYEV
Credential RD, CDN
Practice Address 13-51 River Rd Ste B
Fair Lawn
NJ 07410
Mailing Address 6 Mcguire Ct
Old Bridge
NJ 08857-4400
Practice Telephone 2013980020
Mailing Telephone 7329105862
Enumeration Date 2008-04-23
Last Update Date 2018-12-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 984541 NJ Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY THE UNIVERSITY OF THE STATE OF NEW YORK, OFFICE OF THE PROFESSIO 006657-1 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1810 Park Ave, South Plainfield, NJ 070805522 9082261810

Office Location

Street Address 13-51 RIVER RD STE B
City FAIR LAWN
State NJ
Zip Code 07410

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NPI Name Taxonomy Address Enumeration
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1073133153 Maria Jidriska Myers Nurse Practitioner 23-00 Nj-208, Fair Lawn, NJ 07410 2020-04-20
1508350869 Jill Marie Deperi Counselor 22-08 Route 208 South, Fair Lawn, NJ 07410 2018-06-20
1952895419 Laurel Olson Counselor Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 2018-06-19
1851896583 Janelle Frazier Social Worker Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 2018-03-26
1457876260 Daniella Suric Behavioral Analyst 2-08 Morlot Avenue, Fair Lawn, NJ 07410 2017-08-14
1912453549 Marcia Gurfield Social Worker 33-03 Ryan Road, Fair Lawn, NJ 07410 2016-09-01
1417330721 The Arc of Bergen and Passaic Counties, Inc Day Training, Developmentally Disabled Services 17-03a Broadway, Fair Lawn, NJ 07410 2015-07-06
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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
1194239764 Emily Prendergast Dietitian, Registered 39-05 Sunderland Dr, Fair Lawn, NJ 07410-5427 2017-11-19
1316479223 Catherine Messina Dietitian, Registered 0069 Yerger Rd, Fair Lawn, NJ 07410-4612 2017-03-30
1285946665 Susan Jodie Kraus Dietitian, Registered 12-22 Sumner Pl, Fair Lawn, NJ 07410-4223 2010-07-13
1811410905 Rivki Berman Dietitian, Registered 4-14 Saddle River Rd Ste 203, Fair Lawn, NJ 07410-5624 2017-07-20
1306182944 Nutrition Is Today's Intelligence, LLC Dietitian, Registered 23-08 Maple Ave, Fair Lawn, NJ 07410-1583 2013-01-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386245603 Eleanor Meyers Dietitian, Registered 14 Stoney Hill Road, Brookside, NJ 07926 2020-11-03
1083215677 Dvora Spektor Dietitian, Registered 411 Main Ave # 1, Clifton, NJ 07014-1387 2020-11-02
1518567205 Lauren Hayley Miller Dietitian, Registered 1 Truman Ct, Robbinsville, NJ 08691-3089 2020-10-30
1740880830 Amanda M Quille Dietitian, Registered 301 Privateer Rd, Manahawkin, NJ 08050-1701 2020-10-28
1992304117 Amy Marie Morel L'horset Dietitian, Registered 191 Christopher St, Montclair, NJ 07042-4205 2020-10-19
1730787318 Kevin Rescigno Dietitian, Registered 71 Alexandra Way, Cape May Court House, NJ 08210-1152 2020-10-15
1053919704 Tiffany Geoffroy Dietitian, Registered 39 Orchard St, Nutley, NJ 07110-2619 2020-10-14
1770181737 Stephanie Marie Kile Dietitian, Registered 1815 Plainfield Ave, South Plainfield, NJ 07080-3051 2020-10-13
1790382133 Kathleen Marie Lumia Dietitian, Registered 91 Beechwood Cir, Hillsborough, NJ 08844-1133 2020-10-08
1447857891 Deborah Adler Dietitian, Registered 122 Terrace Dr, Chatham, NJ 07928-5000 2020-10-07
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Competitor

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City FAIR LAWN
Zip Code 07410

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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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