Individual provider

Gina Keatley, MBA, CDN

Registered Dietitian Nutritionist Renal Nutrition Registered Dietitian Medicare enrolled

Gina Keatley, MBA, CDN is a Registered Dietitian in New York, NY, registered under NPI 1164775649. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 596 BROADWAY SUITE 302, New York, NY 10012. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

596 BROADWAY SUITE 302, New York, NY 10012 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
007594 NY Registered Dietitian primary
007594 NY Nutritionist
007594 NY Renal Nutrition Registered Dietitian
007594 NY Metabolic Nutrition Registered Dietitian

This provider holds licence 007594 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Registered Dietitian Or Nutrition Professional
PAC ID
4880846286
Enrollment ID
I20121211000491

Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dietitian, Registered covers

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. NUCC Health Care Provider Taxonomy, code 133V00000X
Dietary & Nutritional Service Providers Dietitian, Registered

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
133V00000X Registered Dietitian 007594 NY primary
133N00000X Nutritionist 007594 NY
133VN1005X Renal Nutrition Registered Dietitian Nutrition, Renal 007594 NY
133VN1006X Metabolic Nutrition Registered Dietitian Nutrition, Metabolic 007594 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164775649 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 20, 2012
Last updatedJul 10, 2020
StatusActive
Sole proprietorYes
CredentialMBA, CDN
Practice address 596 BROADWAY
SUITE 302
New York, NY 10012
(800) 571-8276
Fax (888) 974-0289
Mailing address 173 HOPKINS ST APT 3L
Brooklyn, NY 11206
Other identifiers P4751979 · Other
PH56000 · Other
NU007594-B85 · Other (NY)
003588303001 · Other
0000358830304 · Other
3343362 · Other
01901192 · Other
126DB3 · Other
SEIU147289 · Other
2305722 · Other
9388910 · Other
The last update on file is Jul 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1164775649 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 7 7 5 6 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 5 7 1 6 8

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164775649?
NPI 1164775649 is the National Provider Identifier assigned to Gina Keatley, MBA, CDN in New York, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Dietitian cover?
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…
How do I contact Gina Keatley, MBA, CDN?
The phone number on file with NPPES is (800) 571-8276, last updated Jul 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gina Keatley, MBA, CDN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164775649 a valid number?
Yes. 1164775649 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.