Active NPI
Katrina E Hartog, MPH, CHES
- Registered Dietitian
- New York, NY
National Provider Identifier
1164628673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 423 East 23 Street
VA Harbor Healthcare System
New York, NY 10010 - Phone
- (212) 686-7500
- NPI assigned
- Jun 22, 2007
- 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
423 East 23 Street
VA Harbor Healthcare System
New York, NY 10010
Mailing address
357 Douglass St
Apt 2
Brooklyn, NY 11217-3106
Phone (845) 461-8588
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1164628673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 DOUGLASS ST",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173106",
"telephone_number": "845-461-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 EAST 23 STREET",
"address_2": "VA HARBOR HEALTHCARE SYSTEM",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-686-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTOG",
"first_name": "KATRINA",
"middle_name": "E",
"credential": "MPH, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2009-09-11",
"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 Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.