Active NPI
Red Light Long Island LLC
- Registered Dietitian
- Floral Park, NY
National Provider Identifier
1104679596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- RED LIGHT LONG ISLAND LLC
- Practice address
- 38 Rogers PL
Floral Park, NY 11001-1728 - Phone
- (516) 263-2489
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Obrien, REGISTERED DIETITIAN
- Title
- Registered Dietitian
- Phone
- (516) 263-2489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
38 Rogers PL
Floral Park, NY 11001-1728
Mailing address
38 Rogers PL
Floral Park, NY 11001-1728
Phone (516) 263-2489
Other names 1
- Red Light Long Island
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1104679596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ROGERS PL",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011728",
"telephone_number": "516-263-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ROGERS PL",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011728",
"telephone_number": "516-263-2489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED LIGHT LONG ISLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "516-263-2489",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED DIETITIAN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Light Long Island",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.