OrganizationActive
Gocopetra Care Consultant LLC
NPI 1124122353 · Metabolic Nutrition Registered Dietitian · Newark, NJ
Provider details
- NPI number
- 1124122353
- Entity type
- Organization
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Authorized official
- Comfort Ekunno-Tabansi, Registered Dietitian
- License
- 927499 (IL)
Practice location
170 Norwood St
Newark, NJ 07106-2627
Phone: (201) 491-9972
Fax: (973) 324-2218
Mailing address
540 Hillside Ter
West Orange, NJ 07052-4306
Registry dates
- Enumerated
- 2006-09-08
- Last updated
- 2007-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.