Provider Demographics
NPI:1780312678
Name:AIKEY, CHRISTIN (RD)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:AIKEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:
Other - Last Name:DEMOUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 MADISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7305
Mailing Address - Country:US
Mailing Address - Phone:973-971-8856
Mailing Address - Fax:973-290-7430
Practice Address - Street 1:101 MADISON AVE STE 107
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7305
Practice Address - Country:US
Practice Address - Phone:973-971-8856
Practice Address - Fax:973-290-7430
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ961340133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic