Mahtab Soleimanzadeh, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009067-1 Issued in NY

Practice address

15 Whitman Rd
Great Neck, NY 11023-1827

Phone

(516) 851-0401

NPI assigned

Nov 14, 2017

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

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ms Nutritional Wellness PLLCGroup PAC ID 2860828233, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Ms Nutritional Wellness PLLC

  • Registered Dietitian
  • Manhasset, NY
  • NPI 1003446709

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1063925964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WHITMAN RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231827",
            "telephone_number": "516-851-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WHITMAN RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231827",
            "telephone_number": "516-851-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIMANZADEH",
        "first_name": "MAHTAB",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009067-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evita R Sokol, DACM, LAC.
• Tina Soleimani Lalo, OTR/L
• Rebecca Abigail Soleimani
• Tiffany Soleimani
• Edan Soleimanian
• Nicole Solemanyan
• Kayla Sollecito, DPT
• Vinod Y Somareddy, PT, DPT
• Lisa Someck, LCSW-R
• Nir N Somekh, M.D.

• Registered Dietitian in Great Neck, NY
• Providers in Great Neck, 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 Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.