Organization Active NPI

My Positive Plate Nutrition Inc.

  • Registered Dietitian
  • Lincolnwood, IL
National Provider Identifier
1487401535
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MY POSITIVE PLATE NUTRITION INC.
Practice address
4433 W Touhy Ave Ste 300
Lincolnwood, IL 60712-1832
Phone
(773) 367-4203
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Nihal Sener Maten, RDNNPI 1013768142
Title
President
Phone
(773) 367-4203

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

4433 W Touhy Ave Ste 300
Lincolnwood, IL 60712-1832

Mailing address

4433 W Touhy Ave Ste 300
Lincolnwood, IL 60712-1832
Phone (773) 367-4203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923002183 IL Part B Supplier - Clinic/Group Practice 4284175845 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4433 W Touhy Ave
Ste 300
Lincolnwood, IL 60712
Phone (773) 367-4203

Practitioners & affiliated clinicians

Practitioners 2

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1487401535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 300",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121832",
            "telephone_number": "773-367-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 300",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121832",
            "telephone_number": "773-367-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY POSITIVE PLATE NUTRITION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SENER MATEN",
        "authorized_official_first_name": "NIHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-367-4203",
        "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 Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.