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

Northeast Dietitian LLC

Organization Metabolic Nutrition Registered Dietitian · NPI 1588357883

Northeast Dietitian LLC is a Metabolic Nutrition Registered Dietitian in Newington, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

192 Stoddard Ave
Newington, CT 06111-1914
Phone: (360) 888-9293
Show map & directions

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

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X

Record details

NPI number1588357883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malaya Mount — Owner · (360) 888-9293
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address192 Stoddard Ave, Newington, CT 06111-1914