Organization Active NPI

Nourished and Well

  • Nutritionist
  • Newark, DE
National Provider Identifier
1043171838
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NOURISHED AND WELL
Practice address
1130 Ogletown Rd Ste 2
Newark, DE 19711-5689
Phone
(646) 854-2564
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Dominic M Stewart, CNS, LDN
Title
Owner
Phone
(646) 854-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1130 Ogletown Rd Ste 2
Newark, DE 19711-5689

Mailing address

1130 Ogletown Rd Ste 2
Newark, DE 19711-5689

National Provider Directory

National Provider Directory

Locations

1130 Ogletown Rd
Ste 2
Newark, DE 19711
Phone (646) 854-2564

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1043171838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 OGLETOWN RD STE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 OGLETOWN RD STE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115689",
            "telephone_number": "646-854-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED AND WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-854-2564",
        "authorized_official_credential": "CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.