Active NPI
Christine Cherpak-Castagna Doctor of Clinical Nutrition, P.C.
- Nutritionist
- Medford, NY
National Provider Identifier
1376202564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- CHRISTINE CHERPAK-CASTAGNA DOCTOR OF CLINICAL NUTRITION, P.C.
- Practice address
- 40 Jordan Dr
Medford, NY 11763-2051 - Phone
- (516) 885-4732
- NPI assigned
- Dec 15, 2021
- 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
- Christine Cherpak-Castagna, DCN, CNS, CDN
- Title
- Owner/Nutritionist
- Phone
- (516) 885-4732
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Nutrition Education Nutritionist | 133NN1002X |
Addresses
Primary practice location
40 Jordan Dr
Medford, NY 11763-2051
Mailing address
40 Jordan Dr
Medford, NY 11763-2051
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutritionist
- Medford, NY
- NPI 1275154023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1376202564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 JORDAN DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 JORDAN DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632051",
"telephone_number": "516-885-4732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINE CHERPAK-CASTAGNA DOCTOR OF CLINICAL NUTRITION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "CHERPAK-CASTAGNA",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER/NUTRITIONIST",
"authorized_official_telephone_number": "516-885-4732",
"authorized_official_credential": "DCN, CNS, CDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.