Individual provider Active NPI

Fraidel Winter, RD

  • Registered Dietitian
  • Jackson, NJ
National Provider Identifier
1073395745
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2 Maryland Dr
Jackson, NJ 08527-2133
Phone
(845) 570-3241
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NJ Primary

Addresses

Primary practice location

2 Maryland Dr
Jackson, NJ 08527-2133

Mailing address

2 Maryland Dr
Jackson, NJ 08527-2133
Phone (845) 570-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250304001205 NJ Practitioner - Registered Dietitian Or Nutrition Professional 0244751592
I20260209002699 NY Practitioner - Registered Dietitian Or Nutrition Professional 0244751592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

705 Caffrey Ave
Far Rockaway, NY 11691-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012268NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fraidel Winter Nutrition LLC Dietitian, Registered CurrentSince Jan 18, 2025 Accepting new patients
Azriel Hirschfeld MD PLLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

580 Raritan Rd
Roselle, NJ 07203
Phone (866) 842-3559

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

16 Sumner Pl
Fl 4
Brooklyn, NY 11206
Phone (212) 235-5181

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1073395745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARYLAND DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272133",
            "telephone_number": "845-570-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARYLAND DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272133",
            "telephone_number": "845-570-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "FRAIDEL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.