Organization Active NPI

Path for Life Inc.

Doing business as Path for Life Self-Nourishment Center

  • Nutrition Education Nutritionist
  • New York, NY
National Provider Identifier
1275785933
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
80302406 Issued in NY
Legal business name
PATH FOR LIFE INC.
Doing business as
Path for Life Self-Nourishment Center
Practice address
80 E 11TH St
Suite 623
New York, NY 10003-6811
Phone
(212) 260-0604
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. Jeanette Bronee, HHC, AADP
Title
Nourishment Counselor
Phone
(212) 260-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 80302406 NY Primary

Addresses

Primary practice location

80 E 11TH St
Suite 623
New York, NY 10003-6811

Mailing address

80 E 11TH St
Suite 623
New York, NY 10003-6811
Phone (212) 260-0604

Other names 1

  • Path for Life Self-Nourishment Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1275785933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E 11TH ST",
            "address_2": "SUITE 623",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036811",
            "telephone_number": "212-260-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E 11TH ST",
            "address_2": "SUITE 623",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036811",
            "telephone_number": "212-260-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH FOR LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BRONEE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "NOURISHMENT COUNSELOR",
        "authorized_official_telephone_number": "212-260-0604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HHC, AADP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "80302406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Path for Life Self-Nourishment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.