Organization Active NPI

Ez Nutrition

  • Nutritionist
  • Philadelphia, PA
National Provider Identifier
1558052696
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
EZ NUTRITION
Practice address
1243 Emily St
Philadelphia, PA 19148-5506
Phone
(215) 380-1109
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Elie Zainoun, RDNPI 1396120317
Title
Owner
Phone
(215) 380-1109

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
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1243 Emily St
Philadelphia, PA 19148-5506

Mailing address

1243 Emily St
Philadelphia, PA 19148-5506
Phone (215) 380-1109

National Provider Directory

National Provider Directory

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": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1558052696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EMILY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485506",
            "telephone_number": "215-380-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EMILY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485506",
            "telephone_number": "215-380-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ZAINOUN",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-380-1109",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.