Individual provider Active NPI

Erica Gittleson, RDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1164741518
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
984987 Issued in NY
Practice address
189 W 89TH St Apt 3U
New York, NY 10024-1960
Phone
(516) 359-5461
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 984987 NY Primary

Addresses

Primary practice location

189 W 89TH St Apt 3U
New York, NY 10024-1960

Mailing address

189 W 89TH St Apt 3U
New York, NY 10024-1960
Phone (516) 359-5461

Other names 1

  • Erica Eisenberg Former name

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

State licenses

LicenseStateTypeSpecialty
984987NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Moskovitz Nutrition PLLC Dietitian, Registered Past Accepting new patients

Networks

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

Organizations & group practices 1

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1164741518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 W 89TH ST APT 3U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241960",
            "telephone_number": "516-359-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 W 89TH ST APT 3U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241960",
            "telephone_number": "516-359-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTLESON",
        "first_name": "ERICA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "984987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "EISENBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.