Philadelphia Nutrition Center, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DN003994 Issued in PA

Legal business name

PHILADELPHIA NUTRITION CENTER, LLC

Practice address

2026 Chestnut St
Philadelphia, PA 19103-4446

Phone

(215) 431-0968

NPI assigned

Nov 3, 2010

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin O'Melia, M.S.NPI 1912019340

Title

Owner

Phone

(215) 431-0968

Specialties & licenses 2

Addresses

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.

• Kevin Michael Omelia, DC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1912019340

  Nutritionist

  NPD (past) Authorized official

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1578864823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034446",
            "telephone_number": "215-431-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034446",
            "telephone_number": "215-431-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "O'MELIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-431-0968",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN003994",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philadelphia Mills Dental Center (Alexander Zilberman)
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• Philadelphia Montessori Charter School
• Philadelphia New Leaf LLC (Advanced Health and Education)
• Philadelphia Nutrition and Wellness, LLC
• Philadelphia Oral and Maxillofacial Surgery, PLLC
• Philadelphia Orthodontics, PC
• Philadelphia Orthopaedic Associates Inc. (Philadelphia Orthopaedic Associates)
• Philadelphia Orthotics and Prosthetics, Inc.
• Philadelphia Pain and Neurology Institute, LLC

• Nutritionist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.