- Practice location
- 108 W 39TH St Rm 1006, New York, NY 10018-8265
- Phone
- 718-708-9994
- Fax
- 646-436-7797
- Last updated
- July 2, 2025
Vital Balance Nutrition LLC is a healthcare organization based in New York, NY. Vital Balance Nutrition LLC practices in New York, NY. The NPI Number for Vital Balance Nutrition LLC is 1700770518. The current practice location address for Vital Balance Nutrition LLC is 108 W 39TH St Rm 1006, New York, NY 10018-8265 and can be reached out via phone at 718-708-9994 and via fax at 646-436-7797.
Provider Profile Details
- NPI Number
- 1700770518
- Provider Name
- Vital Balance Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 108 W 39TH St Rm 1006, New York, NY 10018-8265
- Phone Number
- 718-708-9994
- Fax Number
- 646-436-7797
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Anastasiya Khabirova, RD, MS, CDCES · Owner/Registered Dietitian · 718-708-9994
- Provider Enumeration Date
- June 5, 2025
- Last Update Date
- July 2, 2025
- Certification Date
- July 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 W 39TH St Rm 1006
New York, NY 10018-8265 - City
- New York
- State
- New York
- Zip
- 10018-8265
- Phone Number
- 718-708-9994
- Fax Number
- 646-436-7797
Provider Business Mailing Address Details
- Address
- 320 Adolphus Ave Apt 801
Cliffside Park, NJ 07010-2890 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-2890
- Phone Number
- 718-708-9994
- Fax Number
- 646-436-7797
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Adiana L Castro, RD, CDNDietitian, Registered · NPI 1831495258
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- Aimee L Merkle-Scotland, RDNDietitian, Registered · NPI 1710502844
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Frequently Asked Questions
What is the NPI number of Vital Balance Nutrition LLC?
The NPI number of Vital Balance Nutrition LLC is 1700770518. It was assigned on June 5, 2025 and is currently active in the NPPES registry.
What is the specialty of Vital Balance Nutrition LLC?
Vital Balance Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Vital Balance Nutrition LLC practice?
The practice location is 108 W 39TH St Rm 1006, New York, NY 10018-8265. The office can be reached at 718-708-9994 (phone) or 646-436-7797 (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 1700770518 directly on the NPPES registry website.