NPIMap

Organization Active NPI

Nutrosun LLC

  • Registered Dietitian
  • Roslyn Heights, NY
National Provider Identifier
1356021364
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTROSUN LLC
Practice address
55 Andover Rd
Roslyn Heights, NY 11577
Phone
(516) 957-1234
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Sunny Ravesh, MS RDNPI 1427649169
Title
Owner /Provider
Phone
(650) 476-3266

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

55 Andover Rd
Roslyn Heights, NY 11577

Mailing address

1410 Northern Blvd,
#1050
Manhasset, NY 11030-1050
Phone (516) 957-1234

National Provider Directory

National Provider Directory

Locations

1410 Northern Blvd
Manhasset, NY 11030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1356021364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTHERN BLVD,",
            "address_2": "#1050",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301050",
            "telephone_number": "516-957-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ANDOVER RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-957-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTROSUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "RAVESH",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "OWNER /PROVIDER",
        "authorized_official_telephone_number": "650-476-3266",
        "authorized_official_credential": "MS RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.