Active NPI
Meryl Bornstein, R.D.N., C.D.N
- Registered Dietitian
- Oceanside, NY
National Provider Identifier
1255729034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001838-1
- Practice address
- 107 Concord Ave
Oceanside, NY 11572-5415 - Phone
- (516) 766-6164
- Fax
- (516) 766-6164
- NPI assigned
- Jan 2, 2015
- 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 | 001838-1 | NY | Primary |
Addresses
Primary practice location
107 Concord Ave
Oceanside, NY 11572-5415
Mailing address
107 Concord Ave
Oceanside, NY 11572-5415
Phone (516) 766-6164
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 |
|---|---|---|---|
| 001838-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1255729034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CONCORD AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725415",
"telephone_number": "516-766-6164",
"fax_number": "516-766-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CONCORD AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725415",
"telephone_number": "516-766-6164",
"fax_number": "516-766-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "MERYL",
"name_prefix": "Ms.",
"credential": "R.D.N., C.D.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001838-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.