Individual provider Active NPI

Ornella Elena Sofitchouk, RD

  • Registered Dietitian
  • Huntingdon Valley, PA
National Provider Identifier
1205680535
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86117060
Practice address
3975 Brookdale Ave
Huntingdon Valley, PA 19006-2441
Phone
(267) 300-5732
NPI assigned
Apr 15, 2024
Reactivated
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86117060 Primary

Addresses

Primary practice location

3975 Brookdale Ave
Huntingdon Valley, PA 19006-2441

Mailing address

3975 Brookdale Ave
Huntingdon Valley, PA 19006-2441
Phone (267) 300-5732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1205680535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 BROOKDALE AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062441",
            "telephone_number": "267-300-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 BROOKDALE AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062441",
            "telephone_number": "267-300-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFITCHOUK",
        "first_name": "ORNELLA",
        "middle_name": "ELENA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-09-15",
        "certification_date": "2024-04-13",
        "deactivation_date": "2025-07-01",
        "reactivation_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86117060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.