Clarissa Padua, RD
NPI 1689284978ActiveIndividual· Dietitian, Registered, Nutrition, Sports Dietetics· Springfield, NJ
Dietitian, Registered, Nutrition, Sports Dietetics (RD) with Laparoscopic Edge, PC, practicing in Springfield, New Jersey. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1689284978 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered, Nutrition, Sports Dietetics Primary | 133VN1501X | 86113915 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NJ) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Laparoscopic Edge, PCSpringfield, NJ · 3 clinicians