Durkan Fencing Academy LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

996506 Issued in NY

Legal business name

DURKAN FENCING ACADEMY LLC

Doing business as

Durkan Nutrition

Practice address

60 Saddle River Rd
Unit E
South Hackensack, NJ 07606-1903

Phone

(201) 880-7029

NPI assigned

Aug 25, 2015

Last updated

Aug 25, 2015By 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

Amy Durkan, RDNPI 1831583509

Title

Owner

Phone

(703) 973-2895

Specialties & licenses 1

Addresses

Other names 1

• Durkan Nutrition Doing business as

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.

• Amy Durkan, RDN, CDN

  • Registered Dietitian
  • South Hackensack, NJ
  • NPI 1831583509

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1225405301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 54TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SADDLE RIVER RD",
            "address_2": "UNIT E",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061903",
            "telephone_number": "201-880-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURKAN FENCING ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "DURKAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-973-2895",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "996506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durkan Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Ahmed, LMT
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• Michael Walter Connelly, D.C.
• Crystal World
• Amy Durkan, RDN, CDN
• Endeavor Therapy Group LLC
• Everas Community Services, Inc.
• Natay Grajales
• Shanae Pritchett, MA.PD

• Registered Dietitian in South Hackensack, NJ
• Providers in South Hackensack, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.