Organization Active NPI

Aurora Functional Healthcare Inc

  • Nutritionist
  • Aurora, IL
National Provider Identifier
1124896741
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
AURORA FUNCTIONAL HEALTHCARE INC
Practice address
3535 E New York St
Aurora, IL 60504-4465
Phone
(214) 764-2706
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Muhammad Irfan Aly
Title
Account Manager
Phone
(214) 764-2706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

3535 E New York St
Aurora, IL 60504-4465

Mailing address

3535 E New York St
Aurora, IL 60504-4465

National Provider Directory

National Provider Directory

Locations

3535 E New York St
Aurora, IL 60504
Phone (630) 338-1652

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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1124896741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044465",
            "telephone_number": "214-764-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA FUNCTIONAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "MUHAMMAD IRFAN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "214-764-2706"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.