Medical Nutrition Consulting of Media LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001051 Issued in PA

Legal business name

MEDICAL NUTRITION CONSULTING OF MEDIA LLC

Practice address

604 S Washington SQ
1317
Philadelphia, PA 19106-4118

Phone

(215) 238-0753

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jean Elena Tomezsko, PH.D.

Title

Registered Dietitian/Nutritionist

Phone

(215) 238-0753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1942636063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WASHINGTON SQ",
            "address_2": "1317",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064118",
            "telephone_number": "215-238-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WASHINGTON SQ",
            "address_2": "1317",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064118",
            "telephone_number": "215-238-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION CONSULTING OF MEDIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "TOMEZSKO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/NUTRITIONIST",
        "authorized_official_telephone_number": "215-238-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.