Individual provider Active NPI

Nkechi R Fyle, R.D.

  • Registered Dietitian
  • Paramus, NJ
National Provider Identifier
1265569941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
949657 Issued in NJ
Practice address
27 Madison Ave Ste 50
Paramus, NJ 07652-2722
Phone
(551) 265-5281
Fax
(866) 391-3047
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 949657 NJ Primary

Addresses

Primary practice location

27 Madison Ave Ste 50
Paramus, NJ 07652-2722

Mailing address

814 Barbara Dr
Teaneck, NJ 07666-5406
Phone (551) 265-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240716000936 TX Practitioner - Registered Dietitian Or Nutrition Professional 4688119555 Reassigns benefits to 1 organization
I20240913002908 NJ Practitioner - Registered Dietitian Or Nutrition Professional 4688119555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medicine, LLC CurrentSince Jul 5, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince May 27, 2024 Accepting new patients
Debra Grossano Ms Rd Cde LLC Dietitian, Registered Past Accepting new patients

Locations

515 S Flower St
#1015
Los Angeles, CA 90071

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265569941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 BARBARA DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665406",
            "telephone_number": "551-265-5281",
            "fax_number": "866-391-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MADISON AVE STE 50",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522722",
            "telephone_number": "551-265-5281",
            "fax_number": "866-391-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYLE",
        "first_name": "NKECHI",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "949657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.