Active NPI
Real You Nutrition PLLC
- Registered Dietitian
- Massapequa, NY
National Provider Identifier
1255707550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008323
- Legal business name
- REAL YOU NUTRITION PLLC
- Practice address
- 5700 Merrick Rd
Massapequa, NY 11758-6221 - Phone
- (516) 567-9182
- NPI assigned
- Aug 20, 2015
- Last updated
- Oct 14, 2015
- 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
- Madeline Basler, RDN, CDN
- Title
- Owner, Registered Dietitian
- Phone
- (516) 567-9182
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008323 | NY | Primary |
Addresses
Primary practice location
5700 Merrick Rd
Massapequa, NY 11758-6221
Mailing address
1978 Cecelia PL
Seaford, NY 11783-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2175 Wantagh Ave
Wantagh, NY 11793
Phone (516) 344-5542
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Registered Dietitian
- Wantagh, NY
- NPI 1649027939
Dietitian, Registered
-
- Clinical Psychologist
- New York, NY
- NPI 1144703687
-
- Clinical Psychologist
- Melville, NY
- NPI 1902977283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444780800000",
"number": "1255707550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1978 CECELIA PL",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586221",
"telephone_number": "516-567-9182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL YOU NUTRITION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2015-10-14",
"status": "A",
"authorized_official_last_name": "BASLER",
"authorized_official_first_name": "MADELINE",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "516-567-9182",
"authorized_official_credential": "RDN, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.