Active NPI
Ilex Chih-Heng Ma, MS, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1174892566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 964083
- Practice address
- 1645 E 19TH St
Brooklyn, NY 11229 - Phone
- (347) 556-7180
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 006403 | NY | |
| Registered Dietitian | 133V00000X | 964083 | IL | Primary |
Addresses
Primary practice location
1645 E 19TH St
Brooklyn, NY 11229
Mailing address
450 Gower St
Staten Island, NY 10314-5263
Phone (347) 556-7180
Other practice location 1
1645 E 19th St
Brooklyn, NY 11229-1311
Phone (347) 556-7180
Other practice location 2
1602 Quentin Rd
Brooklyn, NY 11229-1250
Phone (347) 556-7180
Other practice location 3
11 Ralph Pl Ste 211
Staten Island, NY 10304-4424
Phone (347) 556-7180
Other practice location 4
3632 Nostrand Ave Ste 3
Brooklyn, NY 11229-5308
Phone (347) 556-7180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964083 | Other | IL | COMMISSION ON DIETETIC REGISTRATION |
| 006403 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK; EDUCATION DEPARTMENT |
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
- New York University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1645 E 19TH St
Brooklyn, NY 11229-1311
Phone (347) 556-7180
450 Gower St
Staten Island, NY 10314-5263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964083 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin S Becker, M.D. P.C. | Single Specialty | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1487661286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1174892566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GOWER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145263",
"telephone_number": "347-556-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 E 19TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "347-556-7180"
}
],
"practiceLocations": [
{
"address_1": "1645 E 19th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291311",
"country_code": "US",
"telephone_number": "347-556-7180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1602 Quentin Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291250",
"country_code": "US",
"telephone_number": "347-556-7180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Ralph Pl Ste 211",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103044424",
"country_code": "US",
"telephone_number": "347-556-7180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3632 Nostrand Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112295308",
"country_code": "US",
"telephone_number": "347-556-7180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MA",
"first_name": "ILEX",
"middle_name": "CHIH-HENG",
"credential": "MS, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "NY",
"license": "006403",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "964083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "964083",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK; EDUCATION DEPARTMENT",
"identifier": "006403",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.