Provider Demographics
NPI:1760748875
Name:KAPUR, NIKITA (RD, CDN)
Entity Type:Individual
Prefix:
First Name:NIKITA
Middle Name:
Last Name:KAPUR
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CORTLANDT ST
Mailing Address - Street 2:SUITE 1632
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3107
Mailing Address - Country:US
Mailing Address - Phone:212-419-0399
Mailing Address - Fax:866-807-1177
Practice Address - Street 1:22 CORTLANDT ST
Practice Address - Street 2:SUITE 1632
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3107
Practice Address - Country:US
Practice Address - Phone:212-419-0399
Practice Address - Fax:866-807-1177
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007954133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered