DMC Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DMC NUTRITION LLC

Practice address

215 E 68TH St Ofc 8
New York, NY 10065-5718

Phone

(516) 728-6261

Fax

(888) 314-6681

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Deborah Malkoff-Cohen, MS, RD, CDN

Title

President, Owner

Phone

(516) 728-6261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1104424100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 72ND ST APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214422",
            "telephone_number": "516-728-6261",
            "fax_number": "888-314-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 68TH ST OFC 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655718",
            "telephone_number": "516-728-6261",
            "fax_number": "888-314-6681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800A 5th Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657215",
            "country_code": "US",
            "telephone_number": "516-728-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DMC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "MALKOFF-COHEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "516-728-6261",
        "authorized_official_credential": "MS, RD, CDN"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.