Empowered Beast Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EMPOWERED BEAST NUTRITION LLC

Practice address

1432 E Forks Rd
Bay Shore, NY 11706-4312

Phone

(646) 243-2868

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Taiyyibah Moughal, RDNNPI 1952143190

Title

Register Dietitian Nutritionist

Phone

(646) 243-2868

Specialties & licenses 1

Addresses

Tax ID family

Empowered Beast Nutrition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Empowered Beast Nutrition LLC

  • Registered Dietitian
  • Bay Shore, NY
  • NPI 1790503472
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taiyyibah Moughal, RDN

  • Registered Dietitian
  • Bay Shore, NY
  • NPI 1952143190

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1528895372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 E FORKS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064312",
            "telephone_number": "646-243-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E FORKS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064312",
            "telephone_number": "646-243-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED BEAST NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MOUGHAL",
        "authorized_official_first_name": "TAIYYIBAH",
        "authorized_official_title_or_position": "REGISTER DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "646-243-2868",
        "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": []
}

• Bruce P. Sebastien Ellison, PT
• Angeline Elshazly, LPN
• Angela Emokpae
• Osariemen Emokpae
• Empire Vision Center, Inc.
• Empowered Beast Nutrition LLC
• Jay Brian Enden, MD
• Alane Margaret Eng
• Laurence A Engelberg, MD
• David J Engelson, DDS

• Registered Dietitian in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.