MPM Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MPM NUTRITION, LLC

Practice address

1123 Broadway Ste 313
New York, NY 10010-2093

Phone

(847) 721-6942

NPI assigned

Dec 14, 2023

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Paige Meshulam, RDNPI 1750845715

Title

Founder

Phone

(847) 721-6942

Specialties & licenses 1

Addresses

Locations

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.

• Marissa Paige Meshulam, RD

  • Registered Dietitian
  • New York, NY
  • NPI 1750845715

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1205604600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY STE 313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY STE 313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102093",
            "telephone_number": "847-721-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPM NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "MESHULAM",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "847-721-6942",
        "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": []
}

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• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.