OrganizationActive
Nutrition Clinic
NPI 1578624078 · Family Medicine Physician · Elmira, NY
Nutrition Clinic is a Family Medicine Physician organization in Elmira, NY (NPI 1578624078).
Provider details
- NPI number
- 1578624078
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlie Jenkins, Program Manager(607) 732-5646
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1003 Walnut Street
Elmira, NY 14901
Phone: (607) 732-5646
Fax: (607) 732-0373
Street-level locationGet directions
Mailing address
1003 Walnut Street
Elmira, NY 14901
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Nutrition Clinic's NPI number?
- Nutrition Clinic's National Provider Identifier (NPI) is 1578624078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutrition Clinic?
- Nutrition Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nutrition Clinic located?
- Nutrition Clinic's practice location on file with NPPES is 1003 Walnut Street, Elmira, NY 14901.
- What is Nutrition Clinic's phone number?
- The practice phone number listed in the NPPES registry for Nutrition Clinic is (607) 732-5646.
- Who is the authorized official for Nutrition Clinic?
- The authorized official listed on Nutrition Clinic's NPPES record is Charlie Jenkins, Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutrition Clinic's NPI active?
- Yes — Nutrition Clinic's NPI (1578624078) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.