Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eating Disorder Medical Nutrition Therapy

Organization Registered Dietitian · NPI 1720919053

Eating Disorder Medical Nutrition Therapy is a Registered Dietitian in Old Tappan, New Jersey. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

200 Old Tappan Rd Ste 5
Old Tappan, NJ 07675-7033
Phone: (201) 970-7573
Fax: (551) 390-2002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1720919053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Dahl — Founder · (201) 970-7573
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address200 Old Tappan Rd Ste 5, Old Tappan, NJ 07675-7033