Provider Demographics
NPI:1285981787
Name:PILANDE, NAOMI ANN (RD)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANN
Last Name:PILANDE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:ANN
Other - Last Name:KRELENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8519
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:231 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1784
Practice Address - Country:US
Practice Address - Phone:732-842-3050
Practice Address - Fax:732-530-0730
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1067767133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered