Active NPI
Ruchama Fishelis, R.D.,C.D.N
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1063683993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005860-1
- Practice address
- 1315 Avenue P
Brooklyn, NY 11229-1105 - Phone
- (718) 998-1567
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- 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 | 005860-1 | NY | Primary |
Addresses
Primary practice location
1315 Avenue P
Brooklyn, NY 11229-1105
Mailing address
1315 Avenue P
Brooklyn, NY 11229-1105
Phone (718) 998-1567
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005860 | NY | MD | Occupational Therapy Assistant |
| 005860-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1063683993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291105",
"telephone_number": "718-998-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291105",
"telephone_number": "718-998-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHELIS",
"first_name": "RUCHAMA",
"name_prefix": "Mrs.",
"credential": "R.D.,C.D.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005860-1",
"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 Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.