Provider Demographics
NPI:1679901888
Name:HEALTHY PLATES LLC
Entity type:Organization
Organization Name:HEALTHY PLATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTENMULLER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:973-698-4823
Mailing Address - Street 1:12 STARLIGHT RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9778
Mailing Address - Country:US
Mailing Address - Phone:973-698-4823
Mailing Address - Fax:
Practice Address - Street 1:12 STARLIGHT RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-9778
Practice Address - Country:US
Practice Address - Phone:973-698-4823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ861871133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty