Mary Jane Oksman, RD CDN CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0009691 Issued in NY

Practice address

4200 Lakeshore Road
Hamburg, NY 14075-2044

Phone

(716) 627-3391

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mary Jane Ilardo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346372265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKESHORE ROAD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752044",
            "telephone_number": "716-627-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKESHORE ROAD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752044",
            "telephone_number": "716-627-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKSMAN",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "RD CDN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0009691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6503767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ILARDO",
            "middle_name": "JANE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frederick M Occhino, D.O.
• Linda Oconnor
• Philip R Odien, PT
• Jessica E Ogorchock-Congilosi, MD
• Hallie Ogorman, L.AC.,MSTOM,DIP. OM
• Kelly Olesko, DPT
• Emma Oliver
• Patrice D Olson, LMSW
• Omega Health and Wellness LLC
• Omni Pain and Wellness Centers, LLC

• Registered Dietitian in Hamburg, NY
• Providers in Hamburg, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.