Individual provider Active NPI

Susan S Juray, MS, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1003424979
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010184 Issued in NY
Practice address
1310 Pennsylvania Ave Apt 14G
Brooklyn, NY 11239-1918
Phone
(347) 749-4342
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010184 NY Primary

Addresses

Primary practice location

1310 Pennsylvania Ave Apt 14G
Brooklyn, NY 11239-1918

Mailing address

1310 Pennsylvania Ave Apt 14G
Brooklyn, NY 11239-1918
Phone (347) 749-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
010184NYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1003424979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PENNSYLVANIA AVE APT 14G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391918",
            "telephone_number": "347-749-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PENNSYLVANIA AVE APT 14G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391918",
            "telephone_number": "347-749-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURAY",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.