Shoshana Loebenberg, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

012266 Issued in NY

Practice address

1 Vayoel Moshe CT
Monroe, NY 10950-5400

Phone

(347) 746-0453

Fax

(347) 736-0457

NPI assigned

Sep 28, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

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

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.

• Boro Park Nutrition, LLC

  • Nutritionist
  • Brooklyn, NY
  • NPI 1821511262
  Medicare reassignment NPD
• Boro Park Dietitian

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1174385223

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1346068442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VAYOEL MOSHE CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505400",
            "telephone_number": "347-746-0453",
            "fax_number": "347-736-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VAYOEL MOSHE CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505400",
            "telephone_number": "347-746-0453",
            "fax_number": "347-736-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBENBERG",
        "first_name": "SHOSHANA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Nicole Lisa
• Katerina Listopad, ANP-C
• Jennifer Llewellyn
• Chiu Sang Lo, LPN
• Kristen Lobianco, LCSW
• Joseph John Lombino, DC
• Melissa A Lopez
• Joseph Lowy
• Noreen Malone Ludington, MA/CCC-SLP
• Zohra Ludmerer, FNP

• Registered Dietitian in Monroe, NY
• Providers in Monroe, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.