Vital Balance Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

VITAL BALANCE NUTRITION LLC

Practice address

108 W 39TH St RM 1006
New York, NY 10018-8265

Phone

(718) 708-9994

Fax

(646) 436-7797

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

Anastasiya Khabirova, RD, MS, CDCESNPI 1154954220

Title

Owner/Registered Dietitian

Phone

(718) 708-9994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anastasiya Khabirova, RD, RDN

  • Registered Dietitian
  • New York, NY
  • NPI 1154954220

  Dietitian, Registered, NY

  Medicare reassignment NPD Authorized official
• Iraklii Buziashvili, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
  • NPI 1043593940
  NPD

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1700770518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ADOLPHUS AVE APT 801",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102890",
            "telephone_number": "718-708-9994",
            "fax_number": "646-436-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 39TH ST RM 1006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188265",
            "telephone_number": "718-708-9994",
            "fax_number": "646-436-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL BALANCE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "KHABIROVA",
        "authorized_official_first_name": "ANASTASIYA",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "718-708-9994",
        "authorized_official_credential": "RD, MS, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bridget Vitacco, PSYD
• Vitae Care, Inc.
• Antonia Vitagliano
• Vitahealth Apothecary
• Vital Balance Healing Center Inc
• Vital Care Pharmacy Corp
• Vital Dental
• Vital Link Medical Equipment Incorporated
• Vital Pharmacy Group, Inc.
• Vital Point Medicine, P.C.

• All providers in New York, NY
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.