VSC Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008021 Issued in NY

Legal business name

VSC NUTRITION LLC

Practice address

1520 York Ave
Apt 14G
New York, NY 10028-7008

Phone

(781) 864-4645

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Vanessa Stasio Costa, RDN, CDN

Title

Owner/Operator

Phone

(781) 864-4645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1669905311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 YORK AVE",
            "address_2": "APT 14G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287008",
            "telephone_number": "781-864-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 YORK AVE",
            "address_2": "APT 14G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287008",
            "telephone_number": "781-864-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "STASIO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "781-864-4645",
        "authorized_official_credential": "RDN, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in New York, NY
• Providers in New York, 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 Apr 10, 2017; 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.