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

Tavares Medical Nutrition Therapy LLC

Organization Registered Dietitian · NPI 1528660099

Tavares Medical Nutrition Therapy LLC provides Registered Dietitian services in Weehawken, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Avenue At Port Imperial Apt 910
Weehawken, NJ 07086-6303
Phone: (201) 704-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1528660099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Tavares — Registered Dietitian · (201) 704-4654
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303

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