Ethnik Nutrition Practice LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ETHNIK NUTRITION PRACTICE LLC

Practice address

105 W 125TH St FRNT 1
New York, NY 10027-4444

Phone

(646) 245-1945

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Josephine Bintu Katobo, RD

Title

Registered Dietitian

Phone

(646) 245-1945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1073258026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 125TH ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274444",
            "telephone_number": "646-245-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 125TH ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274444",
            "telephone_number": "646-245-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHNIK NUTRITION PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "KATOBO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "BINTU",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "646-245-1945",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 11, 2023; 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.