Provider Demographics
NPI:1144940909
Name:NUTRITION THYME, LLC
Entity type:Organization
Organization Name:NUTRITION THYME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGRO
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN, MS, CSG
Authorized Official - Phone:631-662-7331
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-0308
Mailing Address - Country:US
Mailing Address - Phone:631-662-7331
Mailing Address - Fax:
Practice Address - Street 1:900 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-1623
Practice Address - Country:US
Practice Address - Phone:631-662-7331
Practice Address - Fax:888-893-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty