Active NPI
Lisa B Hayim, MS, RD
- Registered Dietitian
- Great Neck, NY
National Provider Identifier
1093189748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1010 Northern Blvd Ste 208
Room 22
Great Neck, NY 11021-5320 - Phone
- (516) 428-6038
- NPI assigned
- Nov 18, 2015
- Last updated
- Nov 18, 2015
- 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 | NU | Primary |
Addresses
Primary practice location
1010 Northern Blvd Ste 208
Room 22
Great Neck, NY 11021-5320
Mailing address
1010 Northern Blvd Ste 208
Room 22
Great Neck, NY 11021-5320
Phone (516) 428-6038
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1093189748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 NORTHERN BLVD STE 208",
"address_2": "ROOM 22",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215320",
"telephone_number": "516-428-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 NORTHERN BLVD STE 208",
"address_2": "ROOM 22",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215320",
"telephone_number": "516-428-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYIM",
"first_name": "LISA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Sharona Hassid, D.D.S
- Daniel R Haufe, DPT
- Karen Ann Haunss-Sapinski, M.D.
- Debra E Hausman
- Sabrina Havens, LAC
- Azzour Hazzan, MD
- Jia Ying He, PHARM. D.
- Health Bridge Physical Therapy, PC
- Healthy Heart Cardiology, P.C.
- Healthy Life and Longevity Medical Office P.C. (Maxium Life wellness center and medical spa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.