Active NPI
Natalia Wiluk, RD
- Registered Dietitian
- Valley Stream, NY
National Provider Identifier
1093168205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86014953
- Practice address
- 29 Forest Ave
Valley Stream, NY 11581-1307 - Phone
- (631) 747-1165
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86014953 | NY | Primary |
Addresses
Primary practice location
29 Forest Ave
Valley Stream, NY 11581-1307
Mailing address
29 Forest Ave
Valley Stream, NY 11581-1307
Phone (631) 747-1165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86014953 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1093168205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 FOREST AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811307",
"telephone_number": "631-747-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 FOREST AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811307",
"telephone_number": "631-747-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILUK",
"first_name": "NATALIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86014953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.