Individual provider Active NPI

Parvaneh Golbari, MS RD

  • Registered Dietitian
  • Bronx, NY
National Provider Identifier
1255481586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
943609 Issued in NY
Practice address
545 E 142ND St
Segundo Ruiz Belvis D&TC
Bronx, NY 10454-2110
Phone
(718) 579-1710
Fax
(718) 579-1740
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 943609 NY Primary

Addresses

Primary practice location

545 E 142ND St
Segundo Ruiz Belvis D&TC
Bronx, NY 10454-2110

Mailing address

47 Stepping Stone LN
Great Neck, NY 11024-1313
Phone (718) 579-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000027 NY Practitioner - Registered Dietitian Or Nutrition Professional 1951472331 Practice locations: Forest Hills, NY; Great Neck, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
943609NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Parvaneh Golbari Inc Dietitian, Registered Current Accepting new patients

Locations

6902 Austin St
Fl 2
Forest Hills, NY 11375
Phone (516) 424-2862

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

Networks

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

Organizations & group practices 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255481586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 STEPPING STONE LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241313",
            "telephone_number": "718-579-1710",
            "fax_number": "718-579-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E 142ND ST",
            "address_2": "SEGUNDO RUIZ BELVIS D&TC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542110",
            "telephone_number": "718-579-1710",
            "fax_number": "718-579-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBARI",
        "first_name": "PARVANEH",
        "credential": "MS   RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "943609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.