Active NPI
Daphne Jordan-Joseph, CDN
- Nutritionist
- New Rochelle, NY
National Provider Identifier
1235548199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 133N00000X
- Practice address
- 271 North Ave
Suite 111 Ultimate Consultation
New Rochelle, NY 10801 - Phone
- (914) 235-3674
- Fax
- (914) 633-1584
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 133N00000X | NY | Primary |
Addresses
Primary practice location
271 North Ave
Suite 111 Ultimate Consultation
New Rochelle, NY 10801
Mailing address
363 Elton Street
Brooklyn, NY 11208
Phone (347) 788-7350
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133N00000X | NY | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients | |
| Professional Consultation Services for Psychology,Speech Therapy, Occu | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- New Rochelle, NY
- NPI 1679949036
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1235548199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 ELTON STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11208",
"telephone_number": "347-788-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 NORTH AVE",
"address_2": "SUITE 111 ULTIMATE CONSULTATION",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-235-3674",
"fax_number": "914-633-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-JOSEPH",
"first_name": "DAPHNE",
"name_prefix": "Mrs.",
"credential": "CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "133N00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.