Active NPI
Karthika Thirugnanam, RDN
- Registered Dietitian
- Commack, NY
National Provider Identifier
1609440049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86051861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86051861 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Registered Dietitian
- Commack, NY
- NPI 1669299053
Dietitian, Registered
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
- The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
- The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
- The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island
- The Wisdom Tooth of Commack
- Therasports Plus Physical Therapy
- Susan Thomas, P.T
- Daniel Raphael Thompson
- Kamille Thompson
- Jillian Thorsen, LMSW
- Mark Daryl Tieman, M.D.
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.