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

David Nissen, NC

Individual provider Nutrition Education Nutritionist · NPI 1194394510

David Nissen, NC is a Nutrition Education Nutritionist in Lakewood, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2 Flannery Ave
Lakewood, NJ 08701-4750
Phone: (646) 262-1857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X

Record details

NPI number1194394510
Entity typeIndividual (Type 1)
GenderMale
Credentials NC
Sole proprietorYes
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address2 Flannery Ave, Lakewood, NJ 08701-4750

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