NPIMap

Organization Active NPI

My Island Nutrition

  • Clinic/Center
  • Levittown, NY
National Provider Identifier
1255089264
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MY ISLAND NUTRITION
Practice address
107 Sprucewood Dr
Levittown, NY 11756-3813
Phone
(516) 287-0364
NPI assigned
Mar 17, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Bryan Stengel, RDNNPI 1649936154
Title
Dietitian
Phone
(516) 287-0364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

107 Sprucewood Dr
Levittown, NY 11756-3813

Mailing address

107 Sprucewood Dr
Levittown, NY 11756-3813
Phone (516) 287-0364

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1255089264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRUCEWOOD DR",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563813",
            "telephone_number": "516-287-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPRUCEWOOD DR",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563813",
            "telephone_number": "516-287-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ISLAND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "STENGEL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "516-287-0364",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.