LBJM Nutrition PC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LBJM NUTRITION PC

Doing business as

Brown & Medina Nutrition

Practice address

120 E 56TH St RM 540
New York, NY 10022-3670

Phone

(917) 880-8799

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Lisa B Brown, MS, RDN, CDNNPI 1720967714

Title

Co-Owner

Phone

(212) 759-6999

Specialties & licenses 1

Addresses

Other names 1

• Brown & Medina Nutrition Doing business as

Practitioners 1

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

• Lisa B Brown, MS, RDN, CDN, CEDS

  • Registered Dietitian
  • Croton HDSN, NY
  • NPI 1720967714

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1063007607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOSTER CT",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203303",
            "telephone_number": "212-759-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 540",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223670",
            "telephone_number": "917-880-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJM NUTRITION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "212-759-6999",
        "authorized_official_credential": "MS, RDN, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown & Medina Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Frank Lazzara, RPH
• Gabriel Lazzaro, DPT
• Marcus Lazzaro, M.S.W., L.C.S.W.
• Nicholas Lazzaro, NP
• LB Medicine PLLC
• LC Pharmacy Inc
• LC White LCSW Counseling Services
• LCC Family Health Nurse Practitioner
• LCC Nutrition Group, Inc.
• Lco Dental Usq, PC

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.