Active NPI
Elena Kunicki LLC
- Registered Dietitian
- Forest Hills, NY
National Provider Identifier
1245092147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ELENA KUNICKI LLC
- Practice address
- 6840 Selfridge St
Forest Hills, NY 11375-5742 - Phone
- (917) 715-3460
- NPI assigned
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena Kunicki, RD
- Title
- Owner/Dietitian
- Phone
- (917) 715-3460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Health Educator | 174H00000X |
Addresses
Primary practice location
6840 Selfridge St
Forest Hills, NY 11375-5742
Mailing address
6840 Selfridge St
Forest Hills, NY 11375-5742
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1245092147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 SELFRIDGE ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 SELFRIDGE ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755742",
"telephone_number": "917-715-3460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENA KUNICKI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "KUNICKI",
"authorized_official_first_name": "ELENA",
"authorized_official_title_or_position": "OWNER/DIETITIAN",
"authorized_official_telephone_number": "917-715-3460",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.