NPIMap

Organization Active NPI

Boro Park Nutrition, LLC

  • Nutritionist
  • Brooklyn, NY
National Provider Identifier
1821511262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
BORO PARK NUTRITION, LLC
Practice address
1662 47TH St
Brooklyn, NY 11204-1141
Phone
(347) 746-0453
NPI assigned
Jul 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Leah LebelNPI 1154756252
Title
Owner
Phone
(347) 746-0453

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)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

1662 47TH St
Brooklyn, NY 11204-1141

Mailing address

1662 47TH St
Brooklyn, NY 11204-1141
Phone (347) 746-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200701001351 NY Part B Supplier - Clinic/Group Practice 7012334402 Receives reassigned benefits from 22 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY; Spring Valley, NY; Cedarhurst, NY
O20230123000261 NJ Part B Supplier - Clinic/Group Practice 7012334402 Practice locations: Lakewood, NJ; Passaic, NJ

National Provider Directory

National Provider Directory

Locations

185 Clymer St
Ste 101
Brooklyn, NY 11211

29 Little Nassau St
Ste 115
Brooklyn, NY 11205

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821511262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 47TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041141",
            "telephone_number": "347-746-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 47TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041141",
            "telephone_number": "347-746-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORO PARK NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEBEL",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-746-0453"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.