NICOLE LYN HALLISSEY RDN
NPI 1619514783
Dietitian, Registered in Mahwah, NJ

Active since December 07, 2019
7 BROOK ST, MAHWAH, NJ 07430(201) 264-2251(347) 348-0734 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2025, Dec 5, 2022, Dec 7, 2019 (3 updates tracked since 2019).

  • Individual
  • Female
  • Dietitian, Registered

About NICOLE HALLISSEY

This page provides the complete NPI Profile along with additional information for Nicole Hallissey, a provider established in Mahwah, New Jersey with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1619514783 assigned on December 2019. The practitioner's primary taxonomy code is 133V00000X with license number 008173 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1619514783 Verify this NPI
Provider Name
NICOLE LYN HALLISSEY RDN
Gender
Female
Entity Type
Individual
Location Address
7 BROOK ST MAHWAH, NJ 07430
Location Phone
(201) 264-2251
Location Fax
(347) 348-0734
Mailing Address
45 E END AVE APT 4D NEW YORK, NY 10028
Mailing Phone
(201) 264-2251
Mailing Fax
(347) 348-0734
Is Sole Proprietor?
No
Enumeration Date
12-07-2019
Last Update Date
05-27-2025
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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

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
008173
License State
NY
Taxonomy Description
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.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dietitian, Registered
7 BROOK ST
MAHWAH, NJ 07430
Dietitian, Registered
7 BROOK ST
MAHWAH, NJ 07430
Dietitian, Registered
7 BROOK ST
MAHWAH, NJ 07430
Dietitian, Registered
7 BROOK ST
MAHWAH, NJ 07430

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619514783, enumerated as an "individual" on December 07, 2019.

The provider is located at 7 BROOK ST MAHWAH, NJ 07430 and the phone number is (201) 264-2251.

Dietitian, Registered with taxonomy code 133V00000X.