Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Eating Disorder Medical Nutrition Therapy

Organization Registered Dietitian · NPI 1720919053

Eating Disorder Medical Nutrition Therapy provides Registered Dietitian services in Old Tappan, New Jersey. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

200 Old Tappan Rd Ste 5
Old Tappan, NJ 07675-7033
Phone: (201) 970-7573
Fax: (551) 390-2002
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 number1720919053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Dahl — Founder · (201) 970-7573
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address200 Old Tappan Rd Ste 5, Old Tappan, NJ 07675-7033