Active NPI
Keren Gilbert, MS., RD.
- Registered Dietitian
- Roslyn Heights, NY
National Provider Identifier
1205149259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005095-1
- Practice address
- 36 Sycamore LN
Roslyn Heights, NY 11577-2522 - Phone
- (516) 939-9090
- Fax
- (516) 484-4451
- NPI assigned
- Jul 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005095-1 | NY | Primary |
Addresses
Primary practice location
36 Sycamore LN
Roslyn Heights, NY 11577-2522
Mailing address
36 Sycamore LN
Roslyn Heights, NY 11577-2522
Phone (516) 939-9090
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005095 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1205149259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SYCAMORE LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772522",
"telephone_number": "516-939-9090",
"fax_number": "516-484-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 SYCAMORE LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772522",
"telephone_number": "516-939-9090",
"fax_number": "516-484-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "KEREN",
"name_prefix": "Mrs.",
"credential": "MS., RD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005095-1",
"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 Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.