Active NPI
Christina Kroog, RD
- Registered Dietitian
- Huntington, NY
National Provider Identifier
1356789416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1041935
- Practice address
- 224 Wall St
Suite 101
Huntington, NY 11743-2186 - Phone
- (631) 351-2024
- Fax
- (631) 271-0970
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1041935 | NY | Primary |
Addresses
Primary practice location
224 Wall St
Suite 101
Huntington, NY 11743-2186
Mailing address
972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041935 | NY | MD | Registered Dietitian |
| 007886 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1356789416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 WALL ST",
"address_2": "SUITE 101",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432186",
"telephone_number": "631-351-2024",
"fax_number": "631-271-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROOG",
"first_name": "CHRISTINA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1041935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.