Organization Active NPI

Gold Plus Milk LLC

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1376249102
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GOLD PLUS MILK LLC
Practice address
2212 Almond St
Philadelphia, PA 19125-3605
Phone
(215) 380-5904
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Kira Sy, RD, IBCLC, LDNNPI 1558902684
Title
Principal Partner
Phone
(215) 380-5904

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X

Addresses

Primary practice location

2212 Almond St
Philadelphia, PA 19125-3605

Mailing address

1500 Chestnut St # 1652
Philadelphia, PA 19102-2737

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": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1376249102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST # 1652",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 ALMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253605",
            "telephone_number": "215-380-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD PLUS MILK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "215-380-5904",
        "authorized_official_credential": "RD, IBCLC, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.