Individual provider · Type 1 NPI

Tida Pradith Coralluzzo, RD

Registered Dietitian · Livingston, NJ

NPI number 1073456422 Active

Practice location

66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930

Call (917) 837-0598 Map

Fax (973) 740-8932

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86010561 (NJ)

Registered Dietitian: 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…

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About NPI 1073456422

Tida Pradith Coralluzzo, RD's National Provider Identifier is 1073456422, issued on Apr 10, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Livingston, NJ. The record was last updated on Apr 10, 2026.