Active NPI
David Siegel, RDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1053883678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009644-1
- Practice address
- 167 Columbia St Apt 2
Brooklyn, NY 11231-1401 - Phone
- (971) 322-4344
- NPI assigned
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009644-1 | NY | Primary |
Addresses
Primary practice location
167 Columbia St Apt 2
Brooklyn, NY 11231-1401
Mailing address
167 Columbia St Apt 2
Brooklyn, NY 11231-1401
Phone (971) 322-4344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009644-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1053883678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 COLUMBIA ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112311401",
"telephone_number": "971-322-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 COLUMBIA ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112311401",
"telephone_number": "971-322-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "DAVID",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009644-1",
"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 Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.