Nutrition Balance, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000515 Issued in CT

Legal business name

NUTRITION BALANCE, LLC

Practice address

10 Dale St
West Hartford, CT 06107-1815

Phone

(860) 233-3339

Fax

(860) 233-3339

NPI assigned

Aug 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Romely M Ritoli, R.D.

Title

Registered Dietitian/Owner

Phone

(860) 233-3339

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romely Maura Ritoli-Lang, R.D.

  • Registered Dietitian
  • West Hartford, CT
  • NPI 1194930685

  Dietitian, Registered

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1023200094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-233-3339",
            "fax_number": "860-233-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-233-3339",
            "fax_number": "860-233-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "RITOLI",
        "authorized_official_first_name": "ROMELY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "860-233-3339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2155271",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.