Individual provider Active NPI

Suzanne Perrie, RD

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1124711387
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
745 5TH Ave
New York, NY 10151-0099
Phone
(640) 470-6420
Fax
(855) 817-0064
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 Primary

Addresses

Primary practice location

745 5TH Ave
New York, NY 10151-0099

Mailing address

2944 W 5TH St Apt 14S
Brooklyn, NY 11224-3844
Phone (618) 381-5645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920003780 NY Practitioner - Registered Dietitian Or Nutrition Professional 9133573488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nutrition Habits PLLCGroup PAC ID 0143751800, 3 clinicians

Practice addresses (Care Compare)

745 5TH Ave
Suite 500
New York, NY 10151-0099
Phone (347) 265-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011553NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Incontrol Nutrition LLC Dietitian, Registered CurrentSince Sep 7, 2023 Accepting new patients
Nutrition Habits PLLC Dietitian, Registered CurrentSince Sep 28, 2024 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

221 River St
Ste 900
Hoboken, NJ 07030
Phone (347) 265-1148

745 5th Ave
Ste 500
New York, NY 10151
Phone (347) 265-1148

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1124711387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 W 5TH ST APT 14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243844",
            "telephone_number": "618-381-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101510099",
            "telephone_number": "640-470-6420",
            "fax_number": "855-817-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIE",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Jun 1, 2023; 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.