Individual provider Active NPI

Andrea Rothschild

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1245748367
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007974-1 Issued in NY
Practice address
1035 Fulton St
Brooklyn, NY 11238-3463
Phone
(201) 317-9575
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 007974-1 NY Primary

Addresses

Primary practice location

1035 Fulton St
Brooklyn, NY 11238-3463

Mailing address

1035 Fulton St
Brooklyn, NY 11238-3463
Phone (201) 317-9575

Other identifiers 2

IdentifierTypeStateIssuer
1072526OtherCOMMISSION ON DIETETIC REGISTRATION
21700483OtherNATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS

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

LicenseStateTypeSpecialty
007974-1NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1245748367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383463",
            "telephone_number": "201-317-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383463",
            "telephone_number": "201-317-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSCHILD",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007974-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "1072526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
            "identifier": "21700483",
            "state": null
        }
    ],
    "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 11, 2018; 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.