Suzanne Fultz Nutrition, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUZANNE FULTZ NUTRITION, PLLC

Practice address

291 N Little Tor Rd
New City, NY 10956-2205

Phone

(845) 729-1345

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Suzanne Gerdes Fultz, MS, RD, CSOWM, CDNNPI 1750006342

Title

Owner

Phone

(845) 729-1345

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Gerdes Fultz, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • New City, NY
  • NPI 1750006342

  Nutrition, Obesity and Weight Management

  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1235856402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N LITTLE TOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562205",
            "telephone_number": "845-729-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N LITTLE TOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562205",
            "telephone_number": "845-729-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE FULTZ NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "GERDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-729-1345",
        "authorized_official_credential": "MS, RD, CSOWM, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in New City, NY
• Providers in New City, 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 Oct 27, 2022; 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.