MARYAM NIKANTABAR
NPI 1508405994
Dietitian, Registered - Nutrition, Obesity and Weight Management in Haddonfield, NJ
- Individual
- Female
- Dietitian, Registered
- Nutrition, Obesity and Weight Management
About MARYAM NIKANTABAR
This page provides the complete NPI Profile along with additional information for Maryam Nikantabar, a provider established in Haddonfield, New Jersey with a medical specialization in Dietitian, Registered, focusing in nutrition, obesity and weight management . The healthcare provider is registered in the NPI registry with number 1508405994 assigned on January 2020. The practitioner's primary taxonomy code is 133VN1201X with license number DN006783 (PA). The provider is registered as an individual and her NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1508405994 Verify this NPI
- Provider Name
- MARYAM NIKANTABAR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 801 GRAISBURY AVE HADDONFIELD, NJ 08033
- Location Phone
- (570) 985-0955
- Mailing Address
- 435 BEECH AVE HERSHEY, PA 17033
- Mailing Phone
- (570) 985-0955
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-02-2020
- Last Update Date
- 05-20-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered Nutrition, Obesity and Weight Management
- Taxonomy Code
- 133VN1201X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DN006783
- License State
- PA
- Taxonomy Description
- An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508405994, enumerated as an "individual" on January 02, 2020.
The provider is located at 801 GRAISBURY AVE HADDONFIELD, NJ 08033 and the phone number is (570) 985-0955.
Dietitian, Registered with taxonomy code 133VN1201X and a focus in Nutrition, Obesity and Weight Management.
