Individual provider Active NPI

Raquel L Cohen, RDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1245091420
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86329771 Issued in NY
Practice address
1938 E 12TH St
Brooklyn, NY 11229-2704
Phone
(646) 552-4456
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 86329771 NY Primary

Addresses

Primary practice location

1938 E 12TH St
Brooklyn, NY 11229-2704

Mailing address

1938 E 12TH St
Brooklyn, NY 11229-2704
Phone (646) 552-4456

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
86329771NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wello Inc Dietitian, Registered CurrentSince Nov 30, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

52 Bakertown Rd
#113
Monroe, NY 10950
Phone (845) 662-7752

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1245091420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292704",
            "telephone_number": "646-552-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292704",
            "telephone_number": "646-552-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RAQUEL",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86329771",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 16, 2024; 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.