Active NPI
Alissa Lupu, RD, CDN, CNSC
- Registered Dietitian
- New York, NY
National Provider Identifier
1235442294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 992539
- Practice address
- 1315 York Ave
Jay Monahan Center
New York, NY 10021-5304 - Phone
- (212) 746-3847
- Fax
- (212) 746-5630
- 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 | 992539 | NY | Primary |
Addresses
Primary practice location
1315 York Ave
Jay Monahan Center
New York, NY 10021-5304
Mailing address
1315 York Ave
Jay Monahan Center
New York, NY 10021-5304
Phone (212) 746-3847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 992539 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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": "1382313600000",
"number": "1235442294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 YORK AVE",
"address_2": "JAY MONAHAN CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215304",
"telephone_number": "212-746-3847",
"fax_number": "212-746-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 YORK AVE",
"address_2": "JAY MONAHAN CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215304",
"telephone_number": "212-746-3847",
"fax_number": "212-746-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPU",
"first_name": "ALISSA",
"name_prefix": "Mrs.",
"credential": "RD, CDN, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "992539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.