CC Nutrition & Fitness Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CC NUTRITION & FITNESS INC

Practice address

143 Hunter Ridge Rd N
Massapequa, NY 11758-2708

Phone

(516) 242-1866

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Coen, RDNPI 1194244418

Title

Ceo

Phone

(516) 242-1866

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Christine Coen, RD

  • Registered Dietitian
  • Massapequa, NY
  • NPI 1194244418
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1326791609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HUNTER RIDGE RD N",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582708",
            "telephone_number": "516-242-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HUNTER RIDGE RD N",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582708",
            "telephone_number": "516-242-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC NUTRITION & FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "COEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-242-1866",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ".",
            "identifier": "1021951",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "christine@christinecoen.com",
            "affiliation": "N",
            "address_1": "143 Hunter Ridge Rd N",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117582708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James William Cassillo, DC
• Arthur Castellano, MSW
• Adriana Castellanos, LPN
• Bryn L Catapano, LCSW
• David John Cazalet, P.T.
• Cda Medical, PLLC (Passport Health)
• Kirsten Cecora
• Lena Cecora, M.S.W.
• Raymond N Cecora, PT DPT MS
• Charles Celano, DC

• Home Health Agency in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.