Individual provider Active NPI

Erica Mittelman-Szanzer, MS, RD, CDN, CDCES

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1124428495
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86024572 Issued in NY
Practice address
678 Eastern Pkwy Apt 1
Brooklyn, NY 11213-3311
Phone
(929) 260-1661
NPI assigned
Aug 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86024572 NY Primary

Addresses

Primary practice location

678 Eastern Pkwy Apt 1
Brooklyn, NY 11213-3311

Mailing address

1305 E 34TH St
Brooklyn, NY 11210-4819
Phone (347) 578-5112

Other practice location 1

358 Kingston Ave
Brooklyn, NY 11213-4332
Phone (718) 778-7272 ext. 1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000094 NY Practitioner - Registered Dietitian Or Nutrition Professional 0446572176 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

678 Eastern Pkwy
Brooklyn, NY 11213-3311
Phone (929) 260-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Nutrition Ny PLLC Dietitian, Registered CurrentSince Jan 28, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1124428495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104819",
            "telephone_number": "347-578-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 EASTERN PKWY APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133311",
            "telephone_number": "929-260-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 Kingston Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112134332",
            "country_code": "US",
            "telephone_number": "718-778-7272 x1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTELMAN-SZANZER",
        "first_name": "ERICA",
        "credential": "MS, RD, CDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86024572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.

Verify at the official NPI Registry.