Individual provider Active NPI

Maria Pastukhova, RDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1801576608
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
011470-01 Issued in NY
Practice address
99 Wall St Ste 3303
New York, NY 10005-4301
Phone
(201) 378-3237
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX7234 MD
Registered Dietitian 133V00000X MED-NUTR-LIC-158808 MT
Registered Dietitian 133V00000X DT91541 TX
Registered Dietitian 133V00000X 011470-01 NY Primary

Addresses

Primary practice location

99 Wall St Ste 3303
New York, NY 10005-4301

Mailing address

99 Wall St Ste 3303
New York, NY 10005-4301
Phone (201) 378-3237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX7234MDMDRegistered Dietitian
MED-NUTR-LIC-158808MTMDRegistered Dietitian
DT91541TXMDRegistered Dietitian
011470-01NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
212 Nutrition PLLC Dietitian, Registered CurrentSince Aug 25, 2025 Accepting new patients
212 Nutrition LLC Dietitian, Registered CurrentSince Jul 31, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

99 Wall St
Ste 3303
New York, NY 10005
Phone (201) 283-8551

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1801576608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 3303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "201-378-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 3303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "201-378-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTUKHOVA",
        "first_name": "MARIA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX7234",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "MED-NUTR-LIC-158808",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT91541",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011470-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.