IndividualActive
Nicole Kizitaff, RDN
NPI 1750655007 · Registered Dietitian · Mount Ephraim, NJ
Provider details
- NPI number
- 1750655007
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1019387 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
126 Davis Ave
Mount Ephraim, NJ 08059-1614
Phone: (856) 655-8182
Street-level locationGet directions
Mailing address
126 Davis Ave
Mount Ephraim, NJ 08059-1614
Additional practice locations (1)
- 1930 S Broad StPhiladelphia, PA 19145-2328Phone: (215) 339-4563
Registry dates
- Enumerated
- 2012-03-05
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.