Leah Berg, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007781 Issued in NY

Practice address

757 Gilbert PL
Valley Stream, NY 11581-3125

Phone

(646) 530-1453

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1033548334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 GILBERT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813125",
            "telephone_number": "646-530-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 GILBERT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813125",
            "telephone_number": "646-530-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "LEAH",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel Bennett
• Kenndra S Benoit
• Tarin Bent
• Sharon Benyaminy, TSHH
• Kelly Berardi
• Sarah Berkowitz Dienstag, DMD
• Evelyn J Berkowitz
• Lori S Berman, D.O.
• Martin Ira Berman, DDS
• Guerlyne L. Bernard, M.S., CCC-SLP

• Registered Dietitian in Valley Stream, NY
• Providers in Valley Stream, 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 Feb 12, 2015; 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.