Organization Active NPI

Centerport Fitness & Nutrition Corp

Doing business as Forever Fit Health club

  • Registered Dietitian
  • Centerport, NY
National Provider Identifier
1194180398
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
002532 Issued in NY
Legal business name
CENTERPORT FITNESS & NUTRITION CORP
Doing business as
Forever Fit Health club
Practice address
96 Washington Dr
Centerport, NY 11721-1817
Phone
(631) 271-7820
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Catherine Stratton, RD, CDN, CSSDNPI 1730370016
Title
Owner
Phone
(631) 271-7820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 002532 NY Primary

Addresses

Primary practice location

96 Washington Dr
Centerport, NY 11721-1817

Mailing address

96 Washington Dr
Centerport, NY 11721-1817
Phone (631) 271-7820

Other names 1

  • Forever Fit Health club Doing business as

National Provider Directory

National Provider Directory

Locations

96 Washington Dr
Centerport, NY 11721
Phone (631) 271-7820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1194180398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WASHINGTON DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211817",
            "telephone_number": "631-271-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WASHINGTON DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211817",
            "telephone_number": "631-271-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPORT FITNESS & NUTRITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-7820",
        "authorized_official_credential": "RD, CDN, CSSD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "002532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Fit Health club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.