Individual provider · Type 1 NPI

Shane Park, MS, RD

Registered Dietitian · Kinnelon, NJ

NPI number 1528639283 Active

Practice location

27 Forestdale Rd
Kinnelon, NJ 07405-2558

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

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 1528639283

Shane Park, MS, RD's National Provider Identifier is 1528639283, issued on Jul 5, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Kinnelon, NJ. The record was last updated on Jul 5, 2021.