Active NPI
Nutri Perx
- Registered Dietitian
- Dunkirk, NY
National Provider Identifier
1528299369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005451-1
- Legal business name
- NUTRI PERX
- Practice address
- 323 Central Ave Ste 34
Dunkirk, NY 14048-2140 - Phone
- (716) 366-1012
- Fax
- (716) 366-1298
- NPI assigned
- Jul 28, 2009
- Last updated
- Jul 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary C. Damiano, MS,RD,CDN
- Title
- Owner
- Phone
- (716) 366-1012
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005451-1 | NY | Primary |
Addresses
Primary practice location
323 Central Ave Ste 34
Dunkirk, NY 14048-2140
Mailing address
323 Central Ave Ste 34
Dunkirk, NY 14048-2140
Phone (716) 366-1012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD2659 | Other | MEDICARE PART B |
National Provider Directory
National Provider DirectoryLocations
323 Central Ave
Ste 34
Dunkirk, NY 14048
Phone (716) 366-1012
Practitioners & affiliated clinicians
Practitioners 1
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": "1248739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1528299369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 CENTRAL AVE STE 34",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482140",
"telephone_number": "716-366-1012",
"fax_number": "716-366-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 CENTRAL AVE STE 34",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482140",
"telephone_number": "716-366-1012",
"fax_number": "716-366-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRI PERX",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "DAMIANO",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-366-1012",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS,RD,CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005451-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "DD2659",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.