Active NPI
Bent on Wellness, LLC
- Registered Dietitian
- Mount Vernon, NY
National Provider Identifier
1861153348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BENT ON WELLNESS, LLC
- Practice address
- 33 Bonita Vista Rd
Mount Vernon, NY 10552-1301 - Phone
- (646) 732-8053
- Fax
- (844) 800-1470
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gloria Bent, PHD, RD-CDN
- Title
- Owner
- Phone
- (646) 732-8053
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
33 Bonita Vista Rd
Mount Vernon, NY 10552-1301
Mailing address
33 Bonita Vista Rd
Mount Vernon, NY 10552-1301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1861153348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BONITA VISTA RD",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BONITA VISTA RD",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521301",
"telephone_number": "646-732-8053",
"fax_number": "844-800-1470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENT ON WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "BENT",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-732-8053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, RD-CDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.