Organization Active NPI

Christine Cherpak-Castagna Doctor of Clinical Nutrition, P.C.

  • Nutritionist
  • Medford, NY
National Provider Identifier
1376202564
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
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

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Christine Cherpak-Castagna, DCN, CNS, CDNNPI 1275154023
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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.