NPIMap

Organization Active NPI

Tracee Yablon Brenner Nutrition Services

  • Registered Dietitian
  • Nyack, NY
National Provider Identifier
1376166918
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TRACEE YABLON BRENNER NUTRITION SERVICES
Practice address
265 River Rd
Nyack, NY 10960-5018
Phone
(201) 741-0718
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Tracee Yablon Brenner, RDNNPI 1033732664
Title
Registered Dietitan Nutritionist
Phone
(201) 741-0718

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: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

265 River Rd
Nyack, NY 10960-5018

Mailing address

265 River Rd
Nyack, NY 10960-5018
Phone (201) 741-0718

National Provider Directory

National Provider Directory

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": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1376166918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 RIVER RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109605018",
            "telephone_number": "201-741-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 RIVER RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109605018",
            "telephone_number": "201-741-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEE YABLON BRENNER NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "YABLON BRENNER",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_title_or_position": "REGISTERED DIETITAN NUTRITIONIST",
        "authorized_official_telephone_number": "201-741-0718",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.