M.J.Detroyer Nutrition P.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004019-1 Issued in NY

Legal business name

M.J.DETROYER NUTRITION P.C.

Practice address

357 E 57TH St
14B
New York, NY 10022-2907

Phone

(212) 759-7110

Fax

(212) 759-7113

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Mery Jane Detroyer, M.S.,R.D., C.D.N.

Title

President

Phone

(212) 759-7110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1689001570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 E 57TH ST",
            "address_2": "14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222907",
            "telephone_number": "212-759-7110",
            "fax_number": "212-759-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 E 57TH ST",
            "address_2": "14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222907",
            "telephone_number": "212-759-7110",
            "fax_number": "212-759-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.J.DETROYER NUTRITION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DETROYER",
        "authorized_official_first_name": "MERY JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-759-7110",
        "authorized_official_credential": "M.S.,R.D., C.D.N."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004019-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.