Active NPI
Keatley MNT
- Registered Dietitian
- New York, NY
National Provider Identifier
1891208070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KEATLEY MNT
- Practice address
- 596 Broadway Ste 302
New York, NY 10012-3396 - Phone
- (800) 571-8276
- Fax
- (888) 974-0289
- NPI assigned
- Nov 10, 2017
- Organization subpart
- Yes
- Parent organization
- GINA KEATLEY, CDN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gina A Keatley, CDN
- Title
- Owner
- Phone
- (800) 571-8276
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
596 Broadway Ste 302
New York, NY 10012-3396
Mailing address
173 Hopkins St Apt 3L
Brooklyn, NY 11206-5021
Phone (800) 571-8276
National Provider Directory
National Provider Directory- Part of
- Gina a Keatley
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594339200000",
"number": "1891208070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 HOPKINS ST APT 3L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065021",
"telephone_number": "800-571-8276",
"fax_number": "888-974-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 BROADWAY STE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123396",
"telephone_number": "800-571-8276",
"fax_number": "888-974-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEATLEY MNT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GINA KEATLEY, CDN",
"enumeration_date": "2017-11-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A",
"authorized_official_last_name": "KEATLEY",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-571-8276",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.