INCONTROL NUTRITION LLC
NPI 1306314471
Dietitian, Registered in New York, NY

Active since November 07, 2018
745 5TH AVE STE 500, NEW YORK, NY 10151(347) 265-1148(855) 817-0064 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2024, Nov 2, 2022, Jul 14, 2022 and 4 more (7 updates tracked since 2018).

About Incontrol Nutrition Llc NPPES

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

INCONTROL NUTRITION LLC (NPI 1306314471) is a healthcare organization registered as a dietitian, registered in New York, New York and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Hoboken and lists Maja Mirkovic, Founder & Ceo, as its authorized official.

NPPES Registry Identity

NPI1306314471
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameINCONTROL NUTRITION LLC
Location Address745 5TH AVE STE 500New York, NY 10151-0099
Mailing Address2944 W 5th St Apt 14sBrooklyn, NY 11224-3844 · (347) 265-1148 · Fax (855) 817-0064
Fax(855) 817-0064
Organization SubpartNo
Authorized OfficialMaja MirkovicFounder & Ceo · (347) 265-1148
Enumeration DateNovember 7, 2018
Last NPPES UpdateApril 15, 20257 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1306314471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
745 5TH AVE STE 500, New York, NY 10151

Secondary Practice Location 1

Location 1221 River St Ste 900Hoboken, NJ 07030-5990 · Phone (347) 265-1148 · Fax (855) 817-0064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Incontrol Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Incontrol Nutrition LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Registered Dietitian or Nutrition Professional
NPI 1114315033
745 5TH AVE STE 500
New York, NY 10151
(347) 265-1148
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1245976182
200 PARK AVE STE 1700
New York, NY 10166
(347) 265-1148
0.7 mi
Registered Dietitian or Nutrition Professional
NPI 1154954220
108 W 39TH ST RM 1006
New York, NY 10018
(718) 708-9994
1.0 mi
Registered Dietitian or Nutrition Professional
NPI 1760199145
745 5TH AVE STE 500
New York, NY 10151
(347) 265-1148
✔ Accepts Medicare1,070 mi
Registered Dietitian or Nutrition Professional
NPI 1124711387
745 5TH AVE
New York, NY 10151
(640) 470-6420
✔ Accepts Medicare1,070 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Incontrol Nutrition LLC's NPI number?

The NPI number for Incontrol Nutrition LLC is 1306314471. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Incontrol Nutrition LLC located?

Incontrol Nutrition LLC is located at 745 5th Ave Ste 500, New York, NY 10151. The listed phone number is (347) 265-1148.

What is Incontrol Nutrition LLC's specialty?

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

Is Incontrol Nutrition LLC enrolled in Medicare?

Yes. Incontrol Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Incontrol Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Incontrol Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Incontrol Nutrition LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.