NPIMap

Organization Active NPI

Nutraco LLC

  • Registered Dietitian
  • Fort Lauderdale, FL
National Provider Identifier
1861927626
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRACO LLC
Practice address
5691 Brookfield Cir W
Fort Lauderdale, FL 33312-6283
Phone
(718) 510-6776
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Chaya SokolNPI 1194973974
Title
Ceo
Phone
(718) 510-6776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Rehabilitation Hospital 283X00000X
Assisted Living Facility 310400000X
Nursing Facility/Intermediate Care Facility 313M00000X

Addresses

Primary practice location

5691 Brookfield Cir W
Fort Lauderdale, FL 33312-6283

Mailing address

121 Mountain View Dr
Lakewood, NJ 08701-5857

Other names 1

  • NutraSourceRD Former legal business name

National Provider Directory

National Provider Directory

Locations

2679 Highway 70
Ste 1A
Manasquan, NJ 08736

2679 Highway 70
Manasquan, NJ 08736
Phone (718) 510-6776

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1861927626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MOUNTAIN VIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 BROOKFIELD CIR W",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126283",
            "telephone_number": "718-510-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-510-6776"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NutraSourceRD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.