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

Elise Chassen Sopov

Individual provider Registered Dietitian · NPI 1639254162

Elise Chassen Sopov is a Registered Dietitian OR Nutrition Professional in Cedar Grove, New Jersey. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
20
In the registry since
2006

Practice location Address checks out

1376 Pompton Ave
Cedar Grove, NJ 07009-1011
Phone: (973) 200-0896
Fax: (844) 436-5129
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 number1639254162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJanuary 27, 2017

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cedar Grove