Individual provider Active NPI

Chaya Wilhelm, RDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1245976182
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010747 Issued in NY
Practice address
200 Park Ave Ste 1700
New York, NY 10166-0005
Phone
(347) 265-1148
Fax
(855) 817-0064
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 010747 NY Primary

Addresses

Primary practice location

200 Park Ave Ste 1700
New York, NY 10166-0005

Mailing address

25 Balfour PL
Brooklyn, NY 11225-4508
Phone (347) 268-3494

Other practice location 1

25 Balfour Pl
Brooklyn, NY 11225-4508
Phone (347) 268-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630001333 NY Practitioner - Registered Dietitian Or Nutrition Professional 1759761299 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010747NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Incontrol Nutrition LLC Dietitian, Registered CurrentSince May 20, 2022 Accepting new patients
Nutrition Habits PLLC Dietitian, Registered CurrentSince Sep 28, 2024 Accepting new patients
Wyze Nutrition LLC Dietitian, Registered CurrentSince Jul 16, 2023 Accepting new patients

Locations

221 River St
Ste 900
Hoboken, NJ 07030
Phone (347) 265-1148

200 Park Ave
Ste 1700
New York, NY 10166
Phone (347) 265-1148

745 5th Ave
Ste 500
New York, NY 10151
Phone (347) 265-1148

Networks

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

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1245976182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BALFOUR PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254508",
            "telephone_number": "347-268-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE STE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101660005",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Balfour Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112254508",
            "country_code": "US",
            "telephone_number": "347-268-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "CHAYA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010747",
            "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 May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.