Organization Active NPI

Nutrition Habits PLLC

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1396570024
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION HABITS PLLC
Practice address
745 5TH Ave Ste 500
New York, NY 10151-0099
Phone
(347) 265-1148
Fax
(855) 817-0064
NPI assigned
Sep 3, 2024
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Maja Mirkovic, RDNNPI 1114315033
Title
Ceo
Phone
(347) 265-1148

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

745 5TH Ave Ste 500
New York, NY 10151-0099

Mailing address

2944 W 5TH St Apt 14S
Brooklyn, NY 11224-3844
Phone (347) 265-1148

Other practice location 1

221 River St Ste 900
Hoboken, NJ 07030-5990
Phone (347) 265-1148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004002026 NY Part B Supplier - Clinic/Group Practice 0143751800 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1396570024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 W 5TH ST APT 14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243844",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 5TH AVE STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101510099",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 River St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305990",
            "country_code": "US",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION HABITS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MIRKOVIC",
        "authorized_official_first_name": "MAJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-265-1148",
        "authorized_official_credential": "RDN"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.