Organization Active NPI

Ilana Kersch Nutrition PLLC

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1396539276
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ILANA KERSCH NUTRITION PLLC
Practice address
28 Newell St Apt 2B
Brooklyn, NY 11222-4053
Phone
(516) 524-7319
Fax
(516) 524-7319
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Ilana Kersch, RDNPI 1528437761
Title
Owner
Phone
(516) 524-7319

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

28 Newell St Apt 2B
Brooklyn, NY 11222-4053

Mailing address

28 Newell St Apt 2B
Brooklyn, NY 11222-4053
Phone (516) 524-7319

Other identifiers 1

IdentifierTypeStateIssuer
1528437761MedicaidNY

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1396539276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NEWELL ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224053",
            "telephone_number": "516-524-7319",
            "fax_number": "516-524-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NEWELL ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224053",
            "telephone_number": "516-524-7319",
            "fax_number": "516-524-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILANA KERSCH NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "KERSCH",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-524-7319",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528437761",
            "state": "NY"
        }
    ],
    "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 Apr 7, 2025; 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.