Individual provider Active NPI

Anastasiya Khabirova, RD, RDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1154954220
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010192 Issued in NY
Practice address
108 W 39TH St RM 1006
New York, NY 10018-8265
Phone
(718) 708-9994
NPI assigned
Feb 18, 2020
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010192 NY Primary
Metabolic Nutrition Registered Dietitian 133VN1006X 010192 NY
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 010192 NY

Addresses

Primary practice location

108 W 39TH St RM 1006
New York, NY 10018-8265

Mailing address

109 W 39TH St # 1006
New York, NY 10018-3610
Phone (718) 708-9994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002454 NY Practitioner - Registered Dietitian Or Nutrition Professional 1557783743 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Incontrol Nutrition LLC Dietitian, Registered CurrentSince Dec 1, 2022 Accepting new patients
Dr. Buzz Medical, P.C. CurrentSince Jun 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2023 Accepting new patients
Vital Balance Nutrition LLC Dietitian, Registered CurrentSince Jul 21, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2023 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Nutrition Habits PLLC Dietitian, Registered PastSince Sep 8, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Gordon Schectman Medical, LLC PastSince Feb 1, 2020 Accepting new patients

Locations

2952 Brighton 3rd St
Ste 401
Brooklyn, NY 11235
Phone (718) 675-3833

108 W 39th St
Rm 1006
New York, NY 10018
Phone (718) 708-9994

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

200 Park Ave
Ste 1700
New York, NY 10166
Phone (347) 265-1148

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

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

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1154954220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 39TH ST # 1006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183610",
            "telephone_number": "718-708-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 39TH ST RM 1006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188265",
            "telephone_number": "718-708-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABIROVA",
        "first_name": "ANASTASIYA",
        "credential": "RD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010192",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "010192",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NY",
            "license": "010192",
            "primary": false
        }
    ],
    "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 Feb 11, 2026; 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.