Mohawk Valley Nutritional Services, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0050941 Issued in NY

Legal business name

MOHAWK VALLEY NUTRITIONAL SERVICES, PLLC

Practice address

2600 Oneida St
Utica, NY 13501-6311

Phone

(315) 732-9368

NPI assigned

Sep 24, 2015

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priya M MathewNPI 1467793620

Title

Owner

Phone

(315) 732-9368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Priya M Mathew, RD

  • Registered Dietitian
  • Utica, NY
  • NPI 1467793620
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1093184640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ONEIDA ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ONEIDA ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016311",
            "telephone_number": "315-732-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY NUTRITIONAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-732-9368"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0050941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohawk Valley Family Medicine PLLC
• Mohawk Valley Home Care LLC
• Mohawk Valley Imaging, PC
• Mohawk Valley Nephrology Associates, LLP (Mohawk Valley Nephrology Associates)
• Mohawk Valley Nephrology PLLC
• Mohawk Valley Orthopedicsn LLP
• Mohawk Valley PC
• Mohawk Valley Psych Center
• Mohawk Valley Psychiatric Center
• Mohawk Valley Psychiatric Center

• Registered Dietitian in Utica, NY
• Providers in Utica, 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 Jan 26, 2016; 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.