Provider Demographics
NPI:1306977608
Name:KNAPP, JANET M (MA, RD, LDN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MA, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 YALE BLVD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4057
Mailing Address - Country:US
Mailing Address - Phone:732-530-1299
Mailing Address - Fax:
Practice Address - Street 1:231 YALE BLVD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4057
Practice Address - Country:US
Practice Address - Phone:732-530-1299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02356133V00000X
NJ133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered