City Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CITY NUTRITION LLC

Practice address

4611 12TH Ave
Brooklyn, NY 11219-2539

Phone

(305) 898-5599

NPI assigned

May 24, 2020

Last updated

Jun 11, 2021By 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

Tara B MilhemNPI 1467094854

Title

Owner

Phone

(305) 898-5599

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Tara Brooke Milhem, RD

  • Registered Dietitian
  • New York, NY
  • NPI 1467094854
  Authorized official Same address or phone

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

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1629691795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 12TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192539",
            "telephone_number": "305-898-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 12TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192539",
            "telephone_number": "305-898-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-24",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "MILHEM",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-898-5599"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tarabrookenutrition.com",
            "affiliation": "N",
            "address_1": "261 Hudson St Apt 4G",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100131563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• City Medical of Upper East Side, PLLC (CItyMD Urgent Care)
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• City Medical Vascular
• City Midwifery P. C.
• City of New York
• City of New York Office of Payroll Administration (New York City Department of Health and Mental Hygiene)
• City of New York Office of Payroll Administration (NYC Dept of Health & Mental Hygiene Homecrest Distric)
• City of New York Office of Payroll Administration (NYCDOHMH Bedford District Health Center)
• City of New York Office of Payroll Administration (NYC DOHMH Crown Heights HC)

• Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.