Active NPI
Michal Hertz, MA, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1073885984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01070247
- Practice address
- 347 5TH Ave
Suite 800
New York, NY 10016-5010 - Phone
- (212) 510-7651
- Fax
- (646) 807-4812
- NPI assigned
- Feb 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1070247 | NY | |
| Registered Dietitian | 133V00000X | 01070247 | NY | Primary |
Addresses
Primary practice location
347 5TH Ave
Suite 800
New York, NY 10016-5010
Mailing address
200 West 79TH Street
Apt. 14F
New York, NY 10024
Phone (917) 378-5554
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01070247 | NY | MD | Registered Dietitian |
| 1070247 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Balance Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1073885984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST 79TH STREET",
"address_2": "APT. 14F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "917-378-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 5TH AVE",
"address_2": "SUITE 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165010",
"telephone_number": "212-510-7651",
"fax_number": "646-807-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "MICHAL",
"name_prefix": "Mrs.",
"credential": "MA, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1070247",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "01070247",
"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 May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.