Individual provider Active NPI

Dhanwanti Panaram, DIETITIAN

  • Registered Dietitian
  • Bronx, NY
National Provider Identifier
1184717266
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005898 Issued in NY
Practice address
1024 Huntington Ave
Bronx, NY 10465-1944
Phone
(718) 684-7742
Fax
(718) 684-7742
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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 005898 NY Primary

Addresses

Primary practice location

1024 Huntington Ave
Bronx, NY 10465-1944

Mailing address

1024 Huntington Ave
Bronx, NY 10465-1944
Phone (718) 684-7742

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005898NYMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1184717266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HUNTINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651944",
            "telephone_number": "718-684-7742",
            "fax_number": "917-575-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 HUNTINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651944",
            "telephone_number": "718-684-7742",
            "fax_number": "718-684-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARAM",
        "first_name": "DHANWANTI",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.