NPIMap

Organization Active NPI

Your Health Your Choice Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Camillus, NY
National Provider Identifier
1407096506
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005578 Issued in NY
Legal business name
YOUR HEALTH YOUR CHOICE DIETETICS AND NUTRITION PLLC
Practice address
436 Hinsdale Rd
Camillus, NY 13031-1648
Phone
(315) 345-6803
Fax
(315) 672-3009
NPI assigned
Mar 2, 2009
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Mrs. Rebecca E Boyea-Kertesz, RD
Title
Rd
Phone
(315) 345-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 005578 NY Primary

Addresses

Primary practice location

436 Hinsdale Rd
Camillus, NY 13031-1648

Mailing address

PO Box 216
Camillus, NY 13031-0216
Phone (315) 345-6803

National Provider Directory

National Provider Directory

Locations

436 Hinsdale Rd
Camillus, NY 13031
Phone (315) 488-0996

101 N Salina St
Syracuse, NY 13202

4652 Nixon Park Dr
Syracuse, NY 13215
Phone (315) 492-3403

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1407096506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130310216",
            "telephone_number": "315-345-6803",
            "fax_number": "315-672-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HINSDALE RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311648",
            "telephone_number": "315-345-6803",
            "fax_number": "315-672-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH YOUR CHOICE DIETETICS AND NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "BOYEA-KERTESZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "315-345-6803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.