Organization Active NPI

Holness Foods

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1518797703
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HOLNESS FOODS
Doing business as
Holness Nutrition
Practice address
3420 Avenue H Apt 2a
Brooklyn, NY 11210-3335
Phone
(212) 484-9789
Fax
(332) 287-9978
NPI assigned
Aug 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Nicole Holness, MS, RD, CDN, IBCLCNPI 1598903809
Title
Registered Dietitian Nutritionist
Phone
(212) 484-9789

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: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3420 Avenue H Apt 2a
Brooklyn, NY 11210-3335

Mailing address

99 Wall St Ste 899
New York, NY 10005-4301
Phone (212) 484-9789

Other names 1

  • Holness Nutrition Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251004000116 NY Part B Supplier - Clinic/Group Practice 5294231544 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

240 W 40th St
Fl 2
New York, NY 10018
Phone (201) 819-3231

99 Wall St
Ste 899
New York, NY 10005
Phone (212) 484-9789

Practitioners & 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": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1518797703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 899",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "212-484-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 AVENUE H APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103335",
            "telephone_number": "212-484-9789",
            "fax_number": "332-287-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLNESS FOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "HOLNESS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "212-484-9789",
        "authorized_official_credential": "MS, RD, CDN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holness Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holness Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 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.