Provider Demographics
NPI:1295417418
Name:CASTELLANO, DONNA (RDN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:CASTELLANO
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 1:75 GREEN MEADOW BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3147
Mailing Address - Country:US
Mailing Address - Phone:917-838-5645
Mailing Address - Fax:
Practice Address - Street 1:160 WHITE RD STE 102
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1167
Practice Address - Country:US
Practice Address - Phone:732-450-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ845233133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management