Provider Demographics
NPI:1639760739
Name:NUTRITION IN MOTION
Entity Type:Organization
Organization Name:NUTRITION IN MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-712-5475
Mailing Address - Street 1:31 BUHL LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-5215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:516-548-5264
Practice Address - Street 1:31 BUHL LN
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-5215
Practice Address - Country:US
Practice Address - Phone:516-330-6040
Practice Address - Fax:516-548-5264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Single Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0791513OtherCIGNA
NYP4243637OtherOXFORD
NY952204OtherAETNA