Organization Active NPI

Nutrifocus PA

  • Registered Dietitian
  • Jupiter, FL
National Provider Identifier
1043439425
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 1700 Issued in FL
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

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mrs. Rini Banerji, R.D.NPI 1275752651
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20071129000094 FL Part B Supplier - Clinic/Group Practice 8820187875 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.