Active NPI
Aliv Wellness
- Nutritionist
- Riverhead, NY
National Provider Identifier
1649140351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- ALIV WELLNESS
- Practice address
- 1087 Route 58 # 1077
Riverhead, NY 11901-2141 - Phone
- (631) 594-8021
- Fax
- (631) 594-7322
- NPI assigned
- Nov 7, 2025
- Last updated
- Nov 7, 2025
- 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
- Antoinette Liviola, MS, CNS, LDN
- Title
- Nutritionist, Owner
- Phone
- (201) 344-8653
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary |
Addresses
Primary practice location
1087 Route 58 # 1077
Riverhead, NY 11901-2141
Mailing address
1087 Route 58 # 1077
Riverhead, NY 11901-2141
Phone (631) 594-8021
National Provider Directory
National Provider DirectoryLocations
1087 Route 58
#1077
Riverhead, NY 11901
Phone (631) 594-8021
Practitioners & affiliated clinicians
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.
-
- Nutritionist
- Riverhead, NY
- NPI 1124998836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1649140351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 ROUTE 58 # 1077",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012141",
"telephone_number": "631-594-8021",
"fax_number": "631-594-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 ROUTE 58 # 1077",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012141",
"telephone_number": "631-594-8021",
"fax_number": "631-594-7322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIV WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "LIVIOLA",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "NUTRITIONIST, OWNER",
"authorized_official_telephone_number": "201-344-8653",
"authorized_official_credential": "MS, CNS, LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.