MS NUTRITIONAL WELLNESS PLLC (NPI# 1003446709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003446709 |
| Entity Type | Organization |
| Organization Name | MS NUTRITIONAL WELLNESS PLLC |
| Practice Address |
1129 Northern Blvd Ste 404 Manhasset NY 11030-3022 |
| Practice Telephone | 5168510401 |
| Practice Fax Number | 5167400285 |
| Mailing Telephone | 5168510401 |
| Mailing Fax Number | 5167400285 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MRS. MAHTAB SOLEIMANZADEH (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 5168510401 |
| Authorized Official Credential | RD, CDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MS NUTRITIONAL WELLNESS PLLC | 1129 Northern Boulevard, Suite 404, Manhasset, Ny 11030 |
| Street Address |
1129 NORTHERN BLVD STE 404 |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821318742 | Guruprasad Srinivas | Internal Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2010-06-02 |
| 1568085207 | David Alayev | Durable Medical Equipment & Medical Supplies | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-05-27 |
| 1861032377 | Pro Nutrition Counseling Pllc | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-01-13 |
| 1699264986 | Acute Cardiac Care Pllc | Internal Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2018-05-02 |
| 1356854251 | Asal Hakim | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2017-11-14 |
| 1295163665 | Kimberly Macek | Psychologist | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2013-10-23 |
| 1225325673 | Joshua David Levine | Emergency Medicine | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757085 | Custom Nutrition, LLC | Dietitian, Registered | 390 Plandome Rd, Manhasset, NY 11030-1917 | 2019-09-03 |
| 1053782581 | Alix Cara Turoff | Dietitian, Registered | 20 Middle Dr, Manhasset, NY 11030-1415 | 2015-10-09 |
| 1154659514 | Allison Marshall | Dietitian, Registered | 33 Old Ox Rd, Manhasset, NY 11030-2534 | 2009-11-24 |
| 1861032377 | Pro Nutrition Counseling Pllc | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2020-01-13 |
| 1356854251 | Asal Hakim | Dietitian, Registered | 1129 Northern Blvd Ste 404, Manhasset, NY 11030-3022 | 2017-11-14 |
| 1417492273 | Julie Kramer | Dietitian, Registered | 600 Community Dr, Manhasset, NY 11030-3802 | 2017-01-03 |
| 1720472590 | Amy Grayson-hyman | Dietitian, Registered | 300 Community Drive, North Shore Lij Health System, Manhasset, NY 11030 | 2015-03-19 |
| 1871981431 | Amanda Capriglione | Dietitian, Registered | 400 Community Dr, Manhasset, NY 11030-3815 | 2015-01-06 |
| 1528404035 | Gina Deluca | Dietitian, Registered | 300 Community Dr, Manhasset, NY 11030-3816 | 2013-05-13 |
| 1174967632 | Annamaria Cazzorla | Dietitian, Registered | 300 Community Dr, Manhasset, NY 11030-3816 | 2013-04-26 |
| Find all providers in MANHASSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.