IndividualActive
Sobha Malla, RD, CSR
NPI 1801286240 · Renal Nutrition Registered Dietitian · Randolph, NJ
Provider details
- NPI number
- 1801286240
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSR
- Sex
- Female
- Sole proprietor
- No
- License
- 931194 (NJ)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(79/100 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
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
121 Center Grove Rd
Randolph, NJ 07869-4453
Phone: (315) 834-2382
Street-level locationGet directions
Mailing address
121 Center Grove Rd
Randolph, NJ 07869-4453
Additional practice locations (1)
- 1096 Scenic Gulf Dr Ph 1602Miramar Beach, FL 32550-7015Phone: (510) 792-2652
Registry dates
- Enumerated
- 2015-01-23
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.