Individual provider Active NPI

Karthika Thirugnanam, RDN

  • Registered Dietitian
  • Commack, NY
National Provider Identifier
1609440049
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86051861 Issued in NY
Practice address
358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326
Phone
(215) 776-0389
Fax
(833) 734-1553
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86051861 NY Primary

Addresses

Primary practice location

358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326

Mailing address

30 Walter CT
Commack, NY 11725-3602
Phone (215) 776-0389

Other practice location 1

400 South Oyster Road
Suite 300
Hicksville, NY 11801-1180
Phone (215) 776-0389

Other practice location 2

200 Broadhollow Rd Ste 207
Melville, NY 11747-4806
Phone (215) 776-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86051861NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New York Dietetics and Nutrition PLLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1609440049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALTER CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253602",
            "telephone_number": "215-776-0389",
            "fax_number": "833-734-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "215-776-0389",
            "fax_number": "833-734-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 South Oyster Road",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118011180",
            "country_code": "US",
            "telephone_number": "215-776-0389",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Broadhollow Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474806",
            "country_code": "US",
            "telephone_number": "215-776-0389",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRUGNANAM",
        "first_name": "KARTHIKA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86051861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.