NPIMap

Organization Active NPI

Nutrition Improvement Center

  • Registered Dietitian
  • Pomona, NY
National Provider Identifier
1902002983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
003101-1 Issued in NY
Legal business name
NUTRITION IMPROVEMENT CENTER
Practice address
978 Rte. 45 Northside Plaza
Suite 107
Pomona, NY 10970
Phone
(845) 362-1300
Fax
(845) 362-1308
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Iris R EpsteinNPI 1538109780
Title
President
Phone
(845) 362-1300

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 003101-1 NY Primary

Addresses

Primary practice location

978 Rte. 45 Northside Plaza
Suite 107
Pomona, NY 10970

Mailing address

978 Rte. 45 Northside Plaza
Suite 107
Pomona, NY 10970
Phone (845) 362-1300

Other identifiers 5

IdentifierTypeStateIssuer
9859218002OtherNYCIGNA
7248335OtherNYAETNA
8099864OtherNYGHI
P2524572OtherNYOXFORD
2184571OtherNYUNITED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902002983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 RTE. 45 NORTHSIDE PLAZA",
            "address_2": "SUITE 107",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-1300",
            "fax_number": "845-362-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 RTE. 45 NORTHSIDE PLAZA",
            "address_2": "SUITE 107",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-1300",
            "fax_number": "845-362-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION IMPROVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-362-1300"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003101-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9859218002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7248335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8099864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2524572",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2184571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.