Individual provider Active NPI

Asako Miyashita

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1104272848
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1023713 Issued in NY
Practice address
1616 York Ave
Apt 10
New York, NY 10028-6255
Phone
(917) 686-2768
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 008671 NY
Registered Dietitian 133V00000X 1023713 NY Primary

Addresses

Primary practice location

1616 York Ave
Apt 10
New York, NY 10028-6255

Mailing address

1616 York Ave
Apt 10
New York, NY 10028-6255
Phone (917) 686-2768

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
1023713NYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1104272848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 YORK AVE",
            "address_2": "APT 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286255",
            "telephone_number": "917-686-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 YORK AVE",
            "address_2": "APT 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286255",
            "telephone_number": "917-686-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASHITA",
        "first_name": "ASAKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "008671",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1023713",
            "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 12, 2016; 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.