MRS. ILENE MACK
NPI 1013778489
Dietitian, Registered in Middle Island, NY

Q: What is Ilene Mack's NPI number?

The NPI number for Ilene Mack is 1013778489. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Ilene Mack's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilene Mack was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2024

49 OAKCREST AVE, MIDDLE ISLAND, NY 11953(516) 697-7383 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Ilene Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ILENE MACK (NPI 1013778489) is an individual dietitian, registered in Middle Island, New York, licensed in New York (858851) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1013778489

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. ILENE MACK

Location Address49 OAKCREST AVEMiddle Island, NY 11953-1415

Mailing Address2 Leeds LnNorth Babylon, NY 11703-2902

Phone(516) 697-7383

Sole ProprietorNo

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1013778489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 858851

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

49 OAKCREST AVE, Middle Island, NY 11953

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGOR GUTNIK M.D.

Internal Medicine