Active NPI
Caroline Leung Nutrition LLC
- Registered Dietitian
- Middle Village, NY
National Provider Identifier
1194421750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CAROLINE LEUNG NUTRITION LLC
- Practice address
- 6101 79TH St
Middle Village, NY 11379-1337 - Phone
- (646) 712-3728
- NPI assigned
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Leung, RD
- Title
- Registered Dietitian
- Phone
- (646) 712-3728
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
6101 79TH St
Middle Village, NY 11379-1337
Mailing address
6101 79TH St
Middle Village, NY 11379-1337
Phone (646) 712-3728
National Provider Directory
National Provider DirectoryPractitioners & 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": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1194421750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 79TH ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791337",
"telephone_number": "646-712-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 79TH ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791337",
"telephone_number": "646-712-3728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINE LEUNG NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-05",
"status": "A",
"authorized_official_last_name": "LEUNG",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "646-712-3728",
"authorized_official_credential": "RD"
},
"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 Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.