Melissa Anne Flynn, RD, CDN, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007327 Issued in NY

Practice address

44 Sherman PL
Jersey City, NJ 07307-3028

Phone

(716) 860-5902

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Icahn School of Medicine at Mount Sinai

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
  • NPI 1235490277
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Leah Mark Integrative Nutrition PLLC

  • Registered Dietitian
  • Huntington, NY
  • NPI 1013537034

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1124398300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SHERMAN PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073028",
            "telephone_number": "716-860-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SHERMAN PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073028",
            "telephone_number": "716-860-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "L-42314",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Florentino
• David Flores, MD
• Michael Jordan Flores, A.A.S., NREMT
• Stephanie E Flores, LSW
• Florida Family Physicians
• Paul Anthony Foddai, M.D.
• Robert A Fogari, MD
• Shelley Fojas-Arceo
• Danielle Fokshner, MS, LAC, NCC
• Elizabeth Foley, MOT, OTR/L

• Registered Dietitian in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.