IndividualActive
Kacy Romeo Disantillo
NPI 1609475391 · Nutritionist · Linwood, NJ
Provider details
- NPI number
- 1609475391
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2000 Shore Rd Ste 104
Linwood, NJ 08221-2100
Phone: (609) 904-5627
Approximate (ZIP-level) locationGet directions
Mailing address
94 Sunset Dr
Mount Royal, NJ 08061-1016
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.