Organization Active NPI

Nutrition Thyme, LLC

  • Registered Dietitian
  • Holbrook, NY
National Provider Identifier
1144940909
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION THYME, LLC
Practice address
900 Main St Ste 101
Holbrook, NY 11741-1623
Phone
(631) 662-7331
Fax
(888) 893-6922
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Ms. Chelsea Magro, RDN, CDN, MS, CSGNPI 1629737119
Title
Registered Dietitian Nutritionist
Phone
(631) 662-7331

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

900 Main St Ste 101
Holbrook, NY 11741-1623

Mailing address

PO Box 308
Babylon, NY 11702-0308
Phone (631) 662-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206000929 NY Part B Supplier - Clinic/Group Practice 6305218173 Receives reassigned benefits from 1 practitioner
Practice locations: Holbrook, NY

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": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1144940909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117020308",
            "telephone_number": "631-662-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 101",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411623",
            "telephone_number": "631-662-7331",
            "fax_number": "888-893-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THYME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MAGRO",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "631-662-7331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, CDN, MS, CSG"
    },
    "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 Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.