Organization Active NPI

Nutrition Works Ny LLC

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1174062400
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86013650 Issued in NY
Legal business name
NUTRITION WORKS NY LLC
Practice address
77 W 24TH St
New York, NY 10010-3209
Phone
(248) 227-7668
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Samantha Haber, MS, RD, CDNNPI 1790181485
Title
Founder
Phone
(248) 227-7668

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 86013650 NY Primary

Addresses

Primary practice location

77 W 24TH St
New York, NY 10010-3209

Mailing address

77 W 24TH St
Apt 28D
New York, NY 10010-3209
Phone (248) 227-7668

National Provider Directory

National Provider Directory

Locations

77 W 24th St
New York, NY 10010
Phone (248) 227-7668

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": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1174062400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W 24TH ST",
            "address_2": "APT 28D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103209",
            "telephone_number": "248-227-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103209",
            "telephone_number": "248-227-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION WORKS NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "248-227-7668",
        "authorized_official_credential": "MS, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86013650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.