Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Root Deep Nutrition and Wellness

Organization Registered Dietitian · NPI 1619732914

Root Deep Nutrition and Wellness is a Registered Dietitian in Port Jefferson, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

646 Main St
Port Jefferson, NY 11777-2235
Phone: (631) 560-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1619732914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Berggren — Owner · (631) 560-4466
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address22 Clematis St, Port Jefferson Station, NY 11776-1802

Other providers in Port Jefferson