OrganizationActive
Fitness & Wellness of Hackensack
NPI 1689075475 · Registered Dietitian · Maywood, NJ
Provider details
- NPI number
- 1689075475
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Traub, Chief Financial Officer(609) 683-7888
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
137 Route 17 North
Maywood, NJ 07607
Phone: (201) 843-4422
Approximate (ZIP-level) locationGet directions
Mailing address
1044 US Highway 9
Parlin, NJ 08859-1401
Registry dates
- Enumerated
- 2014-09-11
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.