Active NPI
Sophia Medinsky, M.S., R.D., C.D.N.
- Registered Dietitian
- New York, NY
National Provider Identifier
1104870278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006133-1
- Practice address
- 300 E 33Rd St
Suite 11a
New York, NY 10016-9463 - Phone
- (212) 213-3910
- NPI assigned
- May 21, 2006
- 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 | 006133-1 | NY | Primary |
Addresses
Primary practice location
300 E 33Rd St
Suite 11a
New York, NY 10016-9463
Mailing address
300 E 33Rd St
Suite 11a
New York, NY 10016-9463
Phone (212) 213-3910
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006133-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1104870278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 33RD ST",
"address_2": "SUITE 11A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169463",
"telephone_number": "212-213-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 33RD ST",
"address_2": "SUITE 11A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169463",
"telephone_number": "212-213-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINSKY",
"first_name": "SOPHIA",
"credential": "M.S., R.D., C.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-21",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006133-1",
"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 Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.