Organization Active NPI

Your Nutrition Link Inc.

  • Registered Dietitian
  • Holtsville, NY
National Provider Identifier
1053906834
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
YOUR NUTRITION LINK INC.
Practice address
17 Concord Dr
Holtsville, NY 11742-1008
Phone
(631) 338-2602
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mrs. Tania Martins-Balsamo, REGISTERED DIETITIANNPI 1063005882
Title
Founder
Phone
(631) 338-2602

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 Primary

Addresses

Primary practice location

17 Concord Dr
Holtsville, NY 11742-1008

Mailing address

PO Box 784
Farmingville, NY 11738-0784

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1053906834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117380784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CONCORD DR",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421008",
            "telephone_number": "631-338-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NUTRITION LINK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MARTINS-BALSAMO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "631-338-2602",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.