TIDA PRADITH CORALLUZZO RD
NPI 1073456422
Dietitian, Registered in Livingston, NJ

Q: What is Tida Coralluzzo's NPI number?

The NPI number for Tida Coralluzzo is 1073456422. It was assigned to this individual provider in the NPPES registry on April 10, 2026. The provider is also known as Tida Pradith Rd.

Q: What is Tida Coralluzzo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tida Coralluzzo was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2026

66 W MOUNT PLEASANT AVE STE 205, LIVINGSTON, NJ 07039(917) 837-0598(973) 740-8932 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tida Pradith Coralluzzo Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDA PRADITH CORALLUZZO RD (NPI 1073456422) is an individual dietitian, registered in Livingston, New Jersey, licensed in New Jersey (86010561) and active in the NPI registry since April 2026. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1073456422

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTIDA PRADITH CORALLUZZOCredential: RD

Location Address66 W MOUNT PLEASANT AVE STE 205Livingston, NJ 07039-2930

Mailing Address66 W Mount Pleasant Ave Ste 205Livingston, NJ 07039-2930 · (917) 837-0598 · Fax (973) 740-8932

Phone(917) 837-0598

Fax(973) 740-8932

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 10, 2026

NPPES CertifiedApril 10, 2026

✔ NPI 1073456422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NJ · 86010561

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

66 W MOUNT PLEASANT AVE STE 205, Livingston, NJ 07039

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Other Names 1

Former Name (1)Tida Pradith Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tida Pradith Coralluzzo Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991275752

PECOS Enrollment IDI20260522000014

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVINGSTON PSYCHOTHERAPY ASSOCIATES LLC

Counselor (Professional)