Organization Active NPI

Triple a Supplies, Inc

Doing business as Pinnacle Dietary

  • Registered Dietitian
  • Newburgh, NY
National Provider Identifier
1396261426
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TRIPLE A SUPPLIES, INC
Doing business as
Pinnacle Dietary
Practice address
50 Jeanne Drive
Newburgh, NY 12550-7634
Phone
(845) 926-3340
Fax
(845) 926-3347
NPI assigned
Aug 21, 2017
Last updated
Aug 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIPLE A SUPPLIES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Ms. Tonja Alexandra Werkman, MS, R.D.NNPI 1568959021
Title
Vice President
Phone
(732) 267-0490

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 Dietitian 133V00000X NU Primary

Addresses

Primary practice location

50 Jeanne Drive
Newburgh, NY 12550-7634

Mailing address

50 Jeanne Drive
Newburgh, NY 12550-7634
Phone (845) 926-3340

Other names 1

  • Pinnacle Dietary Doing business as

National Provider Directory

National Provider Directory
Part of
Triple a Supplies Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1396261426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JEANNE DRIVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507634",
            "telephone_number": "845-926-3340",
            "fax_number": "945-926-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JEANNE DRIVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507634",
            "telephone_number": "845-926-3340",
            "fax_number": "845-926-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE A SUPPLIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIPLE A SUPPLIES, INC",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "WERKMAN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-267-0490",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, R.D.N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Dietary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.