Active NPI
Nutrifocus PA
- Registered Dietitian
- Jupiter, FL
National Provider Identifier
1043439425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 1700
- Legal business name
- NUTRIFOCUS PA
- Practice address
- 343 Kingfisher Dr
Jupiter, FL 33458-8351 - Phone
- (561) 315-8538
- Fax
- (561) 625-8907
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rini Banerji, R.D.
- Title
- Ceo
- Phone
- (561) 315-8538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 1700 | FL | Primary |
Addresses
Primary practice location
343 Kingfisher Dr
Jupiter, FL 33458-8351
Mailing address
PO Box 31538
Palm Beach Gardens, FL 33420-1538
Phone (561) 329-8683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Jupiter, FL
- NPI 1275752651
-
- Registered Dietitian
- Palm Beach Gardens, FL
- NPI 1235349952
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1043439425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31538",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334201538",
"telephone_number": "561-329-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 KINGFISHER DR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334588351",
"telephone_number": "561-315-8538",
"fax_number": "561-625-8907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRIFOCUS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "BANERJI",
"authorized_official_first_name": "RINI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-315-8538",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 1700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.