Active NPI
Love Afonne Akobundu, MS, RD, CDN, CDE
- Metabolic Nutrition Registered Dietitian
- Saint Albans, NY
National Provider Identifier
1497811921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 00711812
- Practice address
- 11102 Farmers Blvd
Saint Albans, NY 11412-2358 - Phone
- (718) 454-1466
- Fax
- (718) 454-1467
- NPI assigned
- Dec 29, 2006
- Last updated
- Mar 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 00711812 | NY | Primary |
Addresses
Primary practice location
11102 Farmers Blvd
Saint Albans, NY 11412-2358
Mailing address
19108 109TH Ave
Saint Albans, NY 11412-1157
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113629 | Other | NY | HMO |
| 371813P | Other | HMO | |
| 2958467 | Other | NY | HMO |
| P2695132 | Other | NY | HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000692 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 3274522081 | Practice locations: Brooklyn, NY; Saint Albans, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000020 | NY | MD | Marriage & Family Therapist |
| 00711812 | NY | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemporary OBGYN Care PC | Past | Accepting new patients | |
| Lovingcare Diabetes Program @ Albright Medical | Nutrition, Metabolic | Past | Accepting new patients |
| Citicardiaccare P.C. | Past | Accepting new patients | |
| Albright Medical Offices, PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Metabolic Nutrition Registered Dietitian
- Saint Albans, NY
- NPI 1295071850
Nutrition, Metabolic
-
- Family Medicine Physician
- Saint Albans, NY
- NPI 1629149927
-
- Cardiovascular Disease Physician
- Jamaica, NY
- NPI 1467545509
-
- Gynecology Physician
- Brooklyn, NY
- NPI 1023387396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1497811921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19108 109TH AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11102 FARMERS BLVD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122358",
"telephone_number": "718-454-1466",
"fax_number": "718-454-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKOBUNDU",
"first_name": "LOVE",
"middle_name": "AFONNE",
"credential": "MS, RD, CDN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "00711812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "0113629",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "371813P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "2958467",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "P2695132",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.