Active NPIIndividual providerSole proprietor

Dr. Keith T Ayoob, EDD, RD, CDN

Dietitian, Registered in Bronx, New York

NPI Number1801948641
Practice location
1165 Morris Park Ave, Room 438, Bronx, NY 10461-1915
Fax
718-823-4877
Last updated
November 19, 2014

Keith Thomas Ayoob is a Dietitian, Registered based in Bronx, NY. Keith Thomas Ayoob practices in Bronx, NY and has the professional credentials of EDD, RD, CDN. The NPI Number for Keith Thomas Ayoob is 1801948641 and holds a License No. 002276-1 (NY). The current practice location address for Keith Thomas Ayoob is 1165 Morris Park Ave, Room 438, Bronx, NY 10461-1915 and can be reached out via phone at 718-430-3970 and via fax at 718-823-4877.

Provider Profile Details

NPI Number
1801948641
Provider Name
Keith Thomas Ayoob
Credential
EDD, RD, CDN
Provider Entity Type
Individual
Gender
Male
Address
1165 Morris Park Ave, Room 438, Bronx, NY 10461-1915
Phone Number
718-430-3970
Fax Number
718-823-4877
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2007
Last Update Date
November 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1165 Morris Park Ave
Room 438
Bronx, NY 10461-1915
City
Bronx
Zip
10461-1915
Phone Number
718-430-3970
Fax Number
718-823-4877
Bronx, NY 10461Get directions →

Provider Business Mailing Address Details

Address
212 E 47TH St
18F
New York, NY 10017-2128
City
New York
State
NY
Zip
10017-2128
Phone Number
718-430-3970
Fax Number
718-823-4877

License Information

License Number
002276-1
License State
NY
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 Dr. Keith T Ayoob, EDD, RD, CDN?

The NPI number of Dr. Keith T Ayoob, EDD, RD, CDN is 1801948641. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Keith T Ayoob, EDD, RD, CDN?

Dr. Keith T Ayoob, EDD, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 002276-1.

Where does Dr. Keith T Ayoob, EDD, RD, CDN practice?

The practice location is 1165 Morris Park Ave, Room 438, Bronx, NY 10461-1915. The office can be reached at 718-430-3970 (phone) or 718-823-4877 (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 1801948641 directly on the NPPES registry website.

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