Individual provider Active NPI

Sharon George

  • Registered Dietitian
  • Roslyn Heights, NY
National Provider Identifier
1194502435
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone
(516) 616-5500
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 Primary

Addresses

Primary practice location

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042

Mailing address

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250516000485 NY Practitioner - Registered Dietitian Or Nutrition Professional 2365960044 Reassigns benefits to 1 organization
I20250519000907 CT Practitioner - Registered Dietitian Or Nutrition Professional 2365960044 Reassigns benefits to 1 organization
I20251016000096 NJ Practitioner - Registered Dietitian Or Nutrition Professional 2365960044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2023

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Bariatric New Jersey PC CurrentSince Aug 1, 2025 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Mar 6, 2025 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. Past Accepting new patients

Locations

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

345 Colt Hwy
Ste C
Farmington, CT 06032

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

560 Sunrise Hwy
West Islip, NY 11795

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

Organizations & group practices 3

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1194502435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "516-616-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "516-616-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.

Verify at the official NPI Registry.