Active NPI
Dawn Saks Mintzer, M.S.,R.D.,C.D.N.
- Registered Dietitian
- New York, NY
National Provider Identifier
1073729802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000990-1
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000990-1 | NY | MD | Behavioral 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.