Nutrisource Inc
NPI 1588857858 · Metabolic Nutrition Registered Dietitian · Great Neck, NY
Nutrisource Inc is a Metabolic Nutrition Registered Dietitian organization in Great Neck, NY (NPI 1588857858).
Provider details
- NPI number
- 1588857858
- Entity type
- Organization
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Nicolette Pace, President Managing Director(516) 482-3100
- License
- 005258 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2011-11-22
Frequently asked questions
- What is Nutrisource Inc's NPI number?
- Nutrisource Inc's National Provider Identifier (NPI) is 1588857858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutrisource Inc?
- Nutrisource Inc is classified in the NPPES registry as Metabolic Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nutrisource Inc located?
- Nutrisource Inc's practice location on file with NPPES is 295 Northern Blvd, Great Neck, NY 11021-4706.
- What is Nutrisource Inc's phone number?
- The practice phone number listed in the NPPES registry for Nutrisource Inc is (516) 482-3100.
- Who is the authorized official for Nutrisource Inc?
- The authorized official listed on Nutrisource Inc's NPPES record is Nicolette Pace, President Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutrisource Inc's NPI active?
- Yes — Nutrisource Inc's NPI (1588857858) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.