Active NPI
Miftari Nutrition LLC
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1558123729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MIFTARI NUTRITION LLC
- Practice address
- 2990 Brighton 12TH St Apt 1D
Brooklyn, NY 11235-4704 - Phone
- (718) 916-3380
- NPI assigned
- Jan 24, 2024
- 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
- Mr. Alton Miftari, MS, RD, CDN
- Title
- Owner/Registered Dietitian
- Phone
- (718) 916-3380
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X |
Addresses
Primary practice location
2990 Brighton 12TH St Apt 1D
Brooklyn, NY 11235-4704
Mailing address
2990 Brighton 12TH St Apt 1D
Brooklyn, NY 11235-4704
Phone (718) 916-3380
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Dietetics Nutrition Registered Dietitian
- Brooklyn, NY
- NPI 1821701004
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1558123729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 BRIGHTON 12TH ST APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354704",
"telephone_number": "718-916-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 BRIGHTON 12TH ST APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354704",
"telephone_number": "718-916-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIFTARI NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "MIFTARI",
"authorized_official_first_name": "ALTON",
"authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "718-916-3380",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, RD, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 24, 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.