Susan Patla, MS RD
Dietitian, Registered in Matawan, NJ. Individual provider (NPI-1).
NPI number1104087691
StatusActive
Last updated in NPPESJun 18, 2008
Details
- NPI
- 1104087691
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Patla
- Credential
- MS RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2008
- Last updated
- Jun 18, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
12 Daniel DriveMatawan, NJ 07747-2742
Phone 732-583-3022 · Fax 732-583-3022
Mailing address
12 Daniel DriveMatawan, NJ 07747-2742
Phone 732-583-3022 · Fax 732-583-3022
Is something wrong?
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Other Registered Dietitian providers in Matawan, NJ
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