Individual provider Active NPI

Leslie Berezow, RD, CDN

  • Registered Dietitian
  • Plainview, NY
National Provider Identifier
1306118864
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001460-1 Issued in NY
Practice address
9 Gerhard Rd
Plainview, NY 11803-5500
Phone
(516) 815-8204
Fax
(516) 822-1055
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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 001460-1 NY Primary

Addresses

Primary practice location

9 Gerhard Rd
Plainview, NY 11803-5500

Mailing address

67 Shelter Hill Rd
Plainview, NY 11803-4828
Phone (516) 815-8204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210003193 NY Practitioner - Registered Dietitian Or Nutrition Professional 8022502764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

317 6TH Ave
Suite 400
Des Moines, IA 50309-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001460-1NYMDAudiologist
001460NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Dietitian, Registered CurrentSince Sep 26, 2025 Accepting new patients
Openloop Healthcare Partners New Jersey PC Dietitian, Registered Past Accepting new patients
Openloop Healthcare Partners California PC Dietitian, Registered Past Accepting new patients
Albany ENT & Allergy Services PC Past Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

28 Liberty St
New York, NY 10005
Phone (415) 205-1229

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

Organizations & group practices 4

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1306118864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHELTER HILL RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034828",
            "telephone_number": "516-815-8204",
            "fax_number": "516-822-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GERHARD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035500",
            "telephone_number": "516-815-8204",
            "fax_number": "516-822-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREZOW",
        "first_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "001460-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.