Active NPI
Alexis Fissinger, RDN, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1396277109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008646
- Practice address
- 505 E 70TH St FL 3
New York, NY 10021-4872 - Phone
- (949) 616-2839
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 008646 | NY | Primary |
Addresses
Primary practice location
505 E 70TH St FL 3
New York, NY 10021-4872
Mailing address
215 W 106TH St Apt 4E
New York, NY 10025-3679
Phone (949) 616-2839
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008646 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1396277109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 106TH ST APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253679",
"telephone_number": "949-616-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 70TH ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214872",
"telephone_number": "949-616-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISSINGER",
"first_name": "ALEXIS",
"credential": "RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.