Active NPIOrganization

Pride Nutrition LLC

Dietitian, Registered in West New York, New Jersey

NPI Number1467315929
Practice location
431 62ND St Apt 305, West New York, NJ 07093-2430
Fax
—
Last updated
December 3, 2025

Pride Nutrition LLC is a healthcare organization based in West New York, NJ. Pride Nutrition LLC practices in West New York, NJ. The NPI Number for Pride Nutrition LLC is 1467315929. The current practice location address for Pride Nutrition LLC is 431 62ND St Apt 305, West New York, NJ 07093-2430 and can be reached out via phone at 631-942-0473.

Provider Profile Details

NPI Number
1467315929
Provider Name
Pride Nutrition LLC
Provider Entity Type
Organization
Address
431 62ND St Apt 305, West New York, NJ 07093-2430
Phone Number
631-942-0473
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Paul Jaeckel, MS, RDN · Owner · 631-942-0473
Provider Enumeration Date
December 3, 2025
Last Update Date
December 3, 2025
Certification Date
December 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
431 62ND St Apt 305
West New York, NJ 07093-2430
Zip
07093-2430
Phone Number
631-942-0473
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
431 62ND St Apt 305
West New York, NJ 07093-2430
City
West New York
State
NJ
Zip
07093-2430

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pride Nutrition LLC?

The NPI number of Pride Nutrition LLC is 1467315929. It was assigned on December 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Pride Nutrition LLC?

Pride Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Pride Nutrition LLC practice?

The practice location is 431 62ND St Apt 305, West New York, NJ 07093-2430. The office can be reached at 631-942-0473 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467315929 directly on the NPPES registry website.

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