Active NPI
Suzanne Perrie, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1124711387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011553 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incontrol Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nutrition Habits PLLC | Dietitian, Registered | Current | 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.