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

Jordyn Fantuzzi

Individual provider Registered Dietitian · NPI 1164256749

Jordyn Fantuzzi is a Registered Dietitian in New York, New York. Works from 2 locations. Licensed in New York and Washington.

Licensed in
NY, WA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

530 1st Ave
New York, NY 10016-6402
Phone: (212) 263-0855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3245 Fairview Ave E Ste 301, Seattle, WA 98102-2011 — (650) 704-7487

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 013084 (NY)
Registered Dietitian Taxonomy 133V00000X · Licence 61496647 (WA)

Record details

NPI number1164256749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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