Active NPI
Miriam Frucht, MS, RD, CDN
- Registered Dietitian
- Forest Hills, NY
National Provider Identifier
1285036731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1023258
- Practice address
- 10240 67TH Rd
Apt 1T
Forest Hills, NY 11375-2663 - Phone
- (347) 742-7658
- NPI assigned
- Sep 16, 2014
- 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 | 1023258 | NY | Primary |
Addresses
Primary practice location
10240 67TH Rd
Apt 1T
Forest Hills, NY 11375-2663
Mailing address
10240 67TH Rd
Apt 1T
Forest Hills, NY 11375-2663
Phone (347) 742-7658
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023258 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1285036731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 67TH RD",
"address_2": "APT 1T",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752663",
"telephone_number": "347-742-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 67TH RD",
"address_2": "APT 1T",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752663",
"telephone_number": "347-742-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHT",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1023258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.