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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 80302406
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 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
National Provider Directory
National Provider DirectoryNPI 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.