Clarissa Padua, RD

Individual provider Sports Dietetics Nutrition Registered Dietitian · NPI 1689284978

Clarissa Padua, RD is a Registered Dietitian OR Nutrition Professional in Springfield, New Jersey. Qualified in 2018, 8 years ago. Practices with Laparoscopic Edge, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 8
Licensed in: IL
In the registry since: 2020

What do these letters mean?

RD — Registered Dietitian: A credentialed nutrition professional.

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Practice location Address checks out

193 Morris Ave
Springfield, NJ 07081-1211
Phone: (551) 258-9109
Fax: (201) 437-9653

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

Specialties & licences

Sports Dietetics Nutrition Registered Dietitian (primary)	Taxonomy 133VN1501X · Licence 86113915 (IL)

Record details

NPI number	1689284978
Entity type	Individual (Type 1)
Gender	Female
Credentials	RD
Sole proprietor	Yes
NPI enumerated	August 3, 2020
Last updated in NPPES	August 3, 2020
Certification date	August 3, 2020
Mailing address	Po Box 555, Union, NJ 07083-0555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical school	OTHER
Graduated	2018 (8 years in practice)
Group practice	Laparoscopic Edge, Pc — 3 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount