Eatwiserx LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005273 Issued in NY

Legal business name

EATWISERX LLC

Practice address

45 Perkins Rd
Greenwich
Greenwich, CT 06830-3510

Phone

(203) 612-3430

NPI assigned

Dec 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael B Freedman

Title

Managing Member

Phone

(203) 612-3430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1801164942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4876",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068310417",
            "telephone_number": "203-612-3430",
            "fax_number": "215-283-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PERKINS RD",
            "address_2": "GREENWICH",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068303510",
            "telephone_number": "203-612-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATWISERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-612-3430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005273",
            "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 May 20, 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.