Elizabeth Madison Nutrition, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00800548 Issued in NY

Legal business name

ELIZABETH MADISON NUTRITION, PLLC

Practice address

13333 Brookville Boulevard
Suite 229C
Rosedale, NY 11422

Phone

(855) 958-9958

Fax

(855) 947-3783

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth M Madison, RD

Title

Ceo

Phone

(855) 958-9958

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Elise Genee Harrison, RDN

  • Registered Dietitian
  • Rosedale, NY
  • NPI 1275146615

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1851785380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22919 MERRICK BLVD",
            "address_2": "#226",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132108",
            "telephone_number": "718-276-6037",
            "fax_number": "855-947-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 BROOKVILLE BOULEVARD",
            "address_2": "SUITE 229C",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "855-958-9958",
            "fax_number": "855-947-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MADISON NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-958-9958",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "00800548",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordia Edwards, NURSE PRACTITIONER
• Nneka Egbuchunam, RN
• Chioma Chituru Egbulefu, RPH
• Olaleye O Ekundare, LMSW
• Myriam Elie-Pluviose
• Shirley A Eloi, RN
• Empire Vision Center, Inc.
• Taylor P Ene
• Equality Group Home LLC
• Elizabeth Essuman, R.N

• Registered Dietitian in Rosedale, NY
• Providers in Rosedale, 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 Oct 16, 2019; 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.