Organization Active NPI

BSG Nutrition

  • Registered Dietitian
  • Rego Park, NY
National Provider Identifier
1124734603
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BSG NUTRITION
Practice address
6295 Wetherole St
Rego Park, NY 11374-1564
Phone
(908) 797-9102
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Rebecca Stanski Garcia, MS, RD, CDNNPI 1609323179
Title
Owner
Phone
(908) 797-9102

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6295 Wetherole St
Rego Park, NY 11374-1564

Mailing address

4315 46TH St Apt E15
Sunnyside, NY 11104-2078
Phone (908) 797-9102

National Provider Directory

National Provider Directory

Practitioners & 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": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1124734603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 46TH ST APT E15",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042078",
            "telephone_number": "908-797-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 WETHEROLE ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741564",
            "telephone_number": "908-797-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSG NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "STANSKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-797-9102",
        "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": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.