Radicare, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RADICARE, LLC

Practice address

2317 Bouck Ave Apt 2B
Bronx, NY 10469-5752

Phone

(201) 446-1717

NPI assigned

Jul 25, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Zariel Grullon, RDNPI 1710501507

Title

Registered Dietitian

Phone

(201) 446-1717

Specialties & licenses 2

Addresses

Practitioners 1

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

• Zariel Carmen Grullon, RD

  • Registered Dietitian
  • Bronx, NY
  • NPI 1710501507

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1710613609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BOUCK AVE APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BOUCK AVE APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695752",
            "telephone_number": "201-446-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "GRULLON",
        "authorized_official_first_name": "ZARIEL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "201-446-1717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stavros Radeos, MD MPH
• Sarah Lois Rader, MD
• Nikta Radfar
• Sreya Radhakrishna
• Saranya Radhakrishnan, M.D.
• Radiological Diagnostic Center Medical Association PA
• Radiosurgery America PC
• Ashley Aviva Radparvar, MD
• Charity Radway
• Raeleen Car Corp

• Registered Dietitian in Bronx, NY
• Providers in Bronx, 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 Jul 25, 2022; 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.