Active NPI
Passport Nutrition LLC
- Registered Dietitian
- Flushing, NY
National Provider Identifier
1750240560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PASSPORT NUTRITION LLC
- Practice address
- 3830 147TH St
Flushing, NY 11354-4721 - Phone
- (917) 435-2314
- NPI assigned
- Jan 17, 2026
- Last updated
- Jan 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sammi Zhang, RDN
- Title
- Founder
- Phone
- (917) 435-2314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3830 147TH St
Flushing, NY 11354-4721
Mailing address
3830 147TH St
Flushing, NY 11354-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2611 SW 17th St
Ste 1002
Topeka, KS 66604
Phone (917) 435-2314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768608000000",
"number": "1750240560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 147TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 147TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544721",
"telephone_number": "917-435-2314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSPORT NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-17",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A",
"authorized_official_last_name": "ZHANG",
"authorized_official_first_name": "SAMMI",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "917-435-2314",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.