Active NPI
Geraldine Herisse, MS, RD, CDN
- Registered Dietitian
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86072830
- Practice address
- 81 W 115TH St
New York, NY 10026-3138 - Phone
- (212) 426-0088
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 86072830 | NY | Primary |
Addresses
Primary practice location
81 W 115TH St
New York, NY 10026-3138
Mailing address
60 Madison Ave
New York, NY 10010-1600
Phone (212) 545-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
81 W 115TH St
New York, NY 10026-3138
Phone (212) 426-0088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010293 | NY | MD | Mental Health Counselor |
| 86072830 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthcare Network Inc | Current | Accepting new patients | |
| Community Healthcare Network Inc | Past | Accepting new patients |
Locations
1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466
2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700
1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198
999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303
9704 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 657-7088
3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488
511 W 157th St
New York, NY 10032
Phone (212) 781-7979
81 W 115th St
#B
New York, NY 10026
Phone (212) 426-0088
60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400
44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439
81 W 115th St
New York, NY 10026
Phone (212) 426-0088
504 W 158th St
Rm 511
New York, NY 10032
255 E Houston St
New York, NY 10002
Phone (212) 477-1120
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- geraldine.herisse@chn.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1316014103
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1154498053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1093483323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 W 115TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263138",
"telephone_number": "212-426-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERISSE",
"first_name": "GERALDINE",
"credential": "MS, RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86072830",
"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 Sep 1, 2021; 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.