Organization Active NPI

Glorious Nutrition LLC

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1386463917
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GLORIOUS NUTRITION LLC
Practice address
1419 73Rd St
Brooklyn, NY 11228-2111
Phone
(929) 382-4295
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Jenna-Ann Del Borrello, MS RDN CDN CDCESNPI 1144689704
Title
Registered Dietitian Nutritionist
Phone
(929) 382-4295

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

1419 73Rd St
Brooklyn, NY 11228-2111

Mailing address

1419 73Rd St
Brooklyn, NY 11228-2111
Phone (929) 382-4295

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1386463917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 73RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282111",
            "telephone_number": "929-382-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 73RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282111",
            "telephone_number": "929-382-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DEL BORRELLO",
        "authorized_official_first_name": "JENNA-ANN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "929-382-4295",
        "authorized_official_credential": "MS RDN CDN CDCES"
    },
    "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 Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.