Individual provider Active NPI

Inaiat Soliman, DIETITIAN CDN STATE

  • Registered Dietitian
  • Staten Island, NY
National Provider Identifier
1083896419
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
004447-1 Issued in NY
Practice address
178 Morrison Ave
Staten Island, NY 10310-2835
Phone
(908) 380-3087
Fax
(718) 442-3646
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 133V00000X NY
Registered Dietitian 133V00000X 004447-1 NY Primary

Addresses

Primary practice location

178 Morrison Ave
Staten Island, NY 10310-2835

Mailing address

178 Morrison Ave
Staten Island, NY 10310-2835
Phone (908) 380-3087

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

State licenses

LicenseStateTypeSpecialty
133V00000XNYMDRegistered Dietitian
004447-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Clinical Care PLLC Past Accepting new patients
Superior Clinical Care PLLC PastSince Apr 1, 2016 Accepting new patients

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1083896419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MORRISON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102835",
            "telephone_number": "908-380-3087",
            "fax_number": "718-442-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MORRISON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102835",
            "telephone_number": "908-380-3087",
            "fax_number": "718-442-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "INAIAT",
        "name_prefix": "Mrs.",
        "credential": "DIETITIAN CDN STATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "133V00000X",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.