Organization Active NPI

Decision Nutrition, PLLC

  • Registered Dietitian
  • Great Neck, NY
National Provider Identifier
1649584632
Registry record updated Nov 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005095-1 Issued in NY
Legal business name
DECISION NUTRITION, PLLC
Practice address
55 Northern Blvd
Suite 301
Great Neck, NY 11021-4027
Phone
(516) 939-9090
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2010

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

Authorized official

Name
Mrs. Keren Gilbert, MS., RD.
Title
President
Phone
(516) 939-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 005095-1 NY Primary

Addresses

Primary practice location

55 Northern Blvd
Suite 301
Great Neck, NY 11021-4027

Mailing address

36 Sycamore LN
Roslyn Heights, NY 11577-2522
Phone (917) 207-5352

National Provider Directory

National Provider Directory

Locations

55 Northern Blvd
Ste 301
Great Neck, NY 11021
Phone (516) 939-9090

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1649584632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SYCAMORE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772522",
            "telephone_number": "917-207-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214027",
            "telephone_number": "516-939-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECISION NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KEREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-939-9090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS., RD."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005095-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.