Mita Dutta Kohanski, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

321 Genesee St
Oneida, NY 13421-2611

Phone

(315) 361-2028

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • East Syracuse, NY
  • NPI 1114067915
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1003546573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-361-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-361-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANSKI",
        "first_name": "MITA",
        "middle_name": "DUTTA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellyanna Kessler, LMHC
• Jessica Jean Khalid, NP
• Danna Killian
• Thomas A Kleinklaus
• Brandi Lyn Kochian, OTR/L
• Sherry Komnick, COTA
• Ghassan Jamil Koussa, M.D.
• Corinna M Kroth, LPN
• Audrey Kuhn
• Jeffrey Kwasniewski, M.D.

• Registered Dietitian in Oneida, NY
• Providers in Oneida, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.