Active NPI
Andrea L Rosenberg, MS ED, RD, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1336359934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 916224
- Practice address
- 255 W 92ND St
Suite 2B
New York, NY 10025-7342 - Phone
- (212) 595-9556
- NPI assigned
- May 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 916224 | NY | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 916224 | NY |
Addresses
Primary practice location
255 W 92ND St
Suite 2B
New York, NY 10025-7342
Mailing address
14 Soundview Ave
Unit 4
White Plains, NY 10606-3327
Phone (212) 595-9556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916224 | Other | REGISTERED DIETITIAN | |
| 005786-1 | Other | NY | CERTIFIED DIETITIAN-NUTRI |
Other names 1
- Ms. Andrea L Furman
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 |
|---|---|---|---|
| 916224 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1336359934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOUNDVIEW AVE",
"address_2": "UNIT 4",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106063327",
"telephone_number": "212-595-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 92ND ST",
"address_2": "SUITE 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257342",
"telephone_number": "212-595-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS ED, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "916224",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "916224",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "916224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIETITIAN-NUTRI",
"identifier": "005786-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "FURMAN",
"middle_name": "L",
"prefix": "MS.",
"credential": "MS ED, RD, CDN",
"code": "2",
"type": "Professional Name"
}
]
}
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 Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.