Active NPI
Jay Miner
- Registered Dietitian
- Depew, NY
National Provider Identifier
1366331308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009749
- Practice address
- 10 South Transithill Drive
Depew, NY 14043 - Phone
- (702) 810-0307
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- 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 | 009749 | NY | Primary |
Addresses
Primary practice location
10 South Transithill Drive
Depew, NY 14043
Mailing address
10 South Transithill Drive
Depew, NY 14043
Phone (702) 810-0307
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Dietitian | Dietitian, Registered | Past | Accepting new patients |
| Boro Park Nutrition, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1366331308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SOUTH TRANSITHILL DRIVE",
"city": "DEPEW",
"state": "NY",
"postal_code": "14043",
"telephone_number": "702-810-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTH TRANSITHILL DRIVE",
"city": "DEPEW",
"state": "NY",
"postal_code": "14043",
"telephone_number": "702-810-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "JAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.