Provider Demographics
NPI:1003787557
Name:PASCARELLA, GRACE (RDN)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:PASCARELLA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BROOKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-1719
Mailing Address - Country:US
Mailing Address - Phone:908-307-1983
Mailing Address - Fax:
Practice Address - Street 1:4 BROOKSIDE LN
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-1719
Practice Address - Country:US
Practice Address - Phone:908-307-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86404159133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered