Active NPI
Ilana Kersch Nutrition PLLC
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1396539276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilana Kersch, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528437761 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.