- Practice location
- 596 Broadway, Ste 302, New York, NY 10012-3396
- Phone
- 800-571-8276
- Fax
- 888-974-0289
- Last updated
- January 21, 2025
Scott Keatley is a Dietitian, Registered based in New York, NY. Scott Keatley practices in New York, NY and has the professional credentials of RD, CDN. The NPI Number for Scott Keatley is 1619327129 and holds a License No. 009107 (NY). The current practice location address for Scott Keatley is 596 Broadway, Ste 302, New York, NY 10012-3396 and can be reached out via phone at 800-571-8276 and via fax at 888-974-0289.
Provider Profile Details
- NPI Number
- 1619327129
- Provider Name
- Scott Keatley
- Credential
- RD, CDN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 596 Broadway, Ste 302, New York, NY 10012-3396
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 15, 2016
- Last Update Date
- January 21, 2025
- Certification Date
- January 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 596 Broadway
Ste 302
New York, NY 10012-3396 - City
- New York
- State
- New York
- Zip
- 10012-3396
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
Provider Business Mailing Address Details
- Address
- 869 Park Ave Apt 2A
Brooklyn, NY 11206-7334 - City
- Brooklyn
- State
- NY
- Zip
- 11206-7334
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
License Information
- License Number (1)
- 009107
- License State (1)
- NY
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- Taxonomy (2)
- Dietitian, Registered · 133V00000X · Primary
- License Number (3)
- 009107
- License State (3)
- NY
- Taxonomy (3)
- Nutritionist · 133N00000X
- License Number (4)
- 009107
- License State (4)
- NY
- Taxonomy (4)
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Scott Keatley, RD, CDN?
The NPI number of Mr. Scott Keatley, RD, CDN is 1619327129. It was assigned on June 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Scott Keatley, RD, CDN?
Mr. Scott Keatley, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 009107.
Where does Mr. Scott Keatley, RD, CDN practice?
The practice location is 596 Broadway, Ste 302, New York, NY 10012-3396. The office can be reached at 800-571-8276 (phone) or 888-974-0289 (fax).
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 1619327129 directly on the NPPES registry website.