Pro Nutrition Counseling PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PRO NUTRITION COUNSELING PLLC

Practice address

585 Stewart Ave Suite LL-18
Garden City, NY 11530

Phone

(516) 260-1202

Fax

(516) 686-9526

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Asal Hakim, RD CDN CPTNPI 1356854251

Title

Owner

Phone

(516) 260-1202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Asal Hakim, RD, CDN

  • Registered Dietitian
  • Garden City, NY
  • NPI 1356854251
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1861032377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHN BEAN CT",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504628",
            "telephone_number": "516-260-1202",
            "fax_number": "516-686-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE SUITE LL-18",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-260-1202",
            "fax_number": "516-686-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO NUTRITION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "ASAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-260-1202",
        "authorized_official_credential": "RD CDN CPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Garden City, NY
• Providers in Garden City, 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 Mar 9, 2023; 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.