Individual provider Active NPI

Dawn Saks Mintzer, M.S.,R.D.,C.D.N.

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1073729802
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000990-1 Issued in NY
Practice address
733 3Rd Ave
16TH Floor
New York, NY 10017-2703
Phone
(646) 790-5700
Fax
(646) 478-9186
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 000990-1 NY Primary

Addresses

Primary practice location

733 3Rd Ave
16TH Floor
New York, NY 10017-2703

Mailing address

733 3Rd Ave
16TH Floor
New York, NY 10017-2703
Phone (646) 790-5700

Other practice location 1

750 3rd Ave
Suite 900
New York, NY 10017-2703
Phone (212) 549-1844

Other practice location 2

733 3rd Ave
16th Floor
New York, NY 10017-2703
Phone (646) 790-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091007000011 NY Practitioner - Registered Dietitian Or Nutrition Professional 6002952983 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

733 3Rd Ave
FL 16
New York, NY 10017-3224
Phone (646) 790-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000990-1NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1073729802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 3RD AVE",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172703",
            "telephone_number": "646-790-5700",
            "fax_number": "646-478-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 3RD AVE",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172703",
            "telephone_number": "646-790-5700",
            "fax_number": "646-478-9186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 3rd Ave",
            "address_2": "Suite 900",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100172703",
            "country_code": "US",
            "telephone_number": "212-549-1844",
            "fax_number": "646-478-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 3rd Ave",
            "address_2": "16th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100172703",
            "country_code": "US",
            "telephone_number": "646-790-5700",
            "fax_number": "646-478-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTZER",
        "first_name": "DAWN",
        "middle_name": "SAKS",
        "name_prefix": "Ms.",
        "credential": "M.S.,R.D.,C.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000990-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.