IndividualActive
Maryam Nikantabar
NPI 1508405994 · Obesity and Weight Management Nutrition Registered Dietitian · Haddonfield, NJ
Provider details
- NPI number
- 1508405994
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN006783 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
801 Graisbury Ave
Haddonfield, NJ 08033-3021
Phone: (570) 985-0955
Approximate (ZIP-level) locationGet directions
Mailing address
435 Beech Ave
Hershey, PA 17033-1610
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.