Individual provider Active NPI

Yefim Ferd

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1407034846
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
934369 Issued in NY
Practice address
3645 Nostrand Ave
#4E
Brooklyn, NY 11229-5383
Phone
(718) 368-0917
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 934369 NY Primary

Addresses

Primary practice location

3645 Nostrand Ave
#4E
Brooklyn, NY 11229-5383

Mailing address

3645 Nostrand Ave
#4E
Brooklyn, NY 11229-5383
Phone (718) 368-0917

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005767NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1407034846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 NOSTRAND AVE",
            "address_2": "#4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295383",
            "telephone_number": "718-368-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 NOSTRAND AVE",
            "address_2": "#4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295383",
            "telephone_number": "718-368-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERD",
        "first_name": "YEFIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "934369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.