GUT GLOW HEALTH DIETETICS AND NUTRITION PROFESSIONAL CORPORATION
NPI 1952268070
Dietitian, Registered in New York, NY

Q: What is Gut Glow Health Dietetics And Nutrition Professional Corporation's specialty?

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

Active since January 09, 2026

415 GRAND ST APT 506, NEW YORK, NY 10002(201) 429-3964 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gut Glow Health Dietetics And Nutrition Professional Corporation NPPES

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

GUT GLOW HEALTH DIETETICS AND NUTRITION PROFESSIONAL CORPORATION (NPI 1952268070) is a healthcare organization registered as a dietitian, registered in New York, New York and active in the NPI registry since January 2026. The organization lists Wyatt Luong, Owner, as its authorized official.

NPPES Registry Identity

NPI1952268070

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameGUT GLOW HEALTH DIETETICS AND NUTRITION PROFESSIONAL CORPORATION

Location Address415 GRAND ST APT 506New York, NY 10002-4760

Mailing Address415 Grand St Apt 506New York, NY 10002-4760

Phone(201) 429-3964

Organization SubpartNo

Authorized OfficialWyatt LuongOwner · (646) 748-6619

Enumeration DateJanuary 9, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1952268070 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.

415 GRAND ST APT 506, New York, NY 10002

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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)

Gut Glow Health Dietetics And Nutrition Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gut Glow Health Dietetics And Nutrition Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wyatt Luong

Registered Dietitian or Nutrition Professional

NPI 1821809419

1752 PARK AVE
New York, NY 10035

(646) 686-0000

6.5 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 Gut Glow Health Dietetics And Nutrition Professional Corporation's NPI number?

The NPI number for Gut Glow Health Dietetics And Nutrition Professional Corporation is 1952268070. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Gut Glow Health Dietetics And Nutrition Professional Corporation located?

Gut Glow Health Dietetics And Nutrition Professional Corporation is located at 415 Grand St Apt 506, New York, NY 10002. The listed phone number is (201) 429-3964.

What is Gut Glow Health Dietetics And Nutrition Professional Corporation's specialty?

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

Is Gut Glow Health Dietetics And Nutrition Professional Corporation enrolled in Medicare?

Yes. Gut Glow Health Dietetics And Nutrition Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gut Glow Health Dietetics And Nutrition Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Gut Glow Health Dietetics And Nutrition Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gut Glow Health Dietetics And Nutrition Professional Corporation was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.