Active NPI
Lourdes Castro Mortillaro, RDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1124649306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 90 Furman St Apt 601
Brooklyn, NY 11201-7083 - Phone
- (305) 586-1285
- NPI assigned
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
90 Furman St Apt 601
Brooklyn, NY 11201-7083
Mailing address
90 Furman St Apt 601
Brooklyn, NY 11201-7083
Phone (305) 586-1285
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pom Nutrition Care, P.a. | Dietitian, Registered | Current | Accepting new patients |
| Christa Brown LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
90 Furman St
Apt 601
Brooklyn, NY 11201
Phone (305) 586-1285
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1124649306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 FURMAN ST APT 601",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017083",
"telephone_number": "305-586-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 FURMAN ST APT 601",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017083",
"telephone_number": "305-586-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTILLARO",
"first_name": "LOURDES",
"middle_name": "CASTRO",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.