Individual provider Active NPI

Irina Lenkovskiy

  • Registered Dietitian
  • Fort Lee, NJ
National Provider Identifier
1417312166
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
972278 Issued in NY
Practice address
500 Catherine St Apt 1
Fort Lee, NJ 07024-2595
Phone
(646) 637-8889
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 8995099 NY
Registered Dietitian 133V00000X 972278 NY Primary

Addresses

Primary practice location

500 Catherine St Apt 1
Fort Lee, NJ 07024-2595

Mailing address

500 -1 Catherine Street
Fort Lee, NJ 07024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170119000998 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8527340900 Reassigns benefits to 3 organizations
I20240605000141 NY Practitioner - Registered Dietitian Or Nutrition Professional 8527340900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manalapan Medical Center PA PCGroup PAC ID 8022164920, 11 clinicians

Practice addresses (Care Compare)

500 Catherine St
Apt 1
Fort Lee, NJ 07024-2595
Phone (646) 637-8889

754 Hwy 18
Suite 107
East Brunswick, NJ 08816-4909
Phone (732) 390-6666

8740 25TH Ave
Brooklyn, NY 11214-5441
Phone (732) 845-2200

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
98.39
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8995099NYMDNutritionist
972278NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutritional Services LLC Dietitian, Registered CurrentSince Mar 6, 2017 Accepting new patients
Manalapan Medical Center PA PC CurrentSince May 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

754 State Route 18
Ste 107
East Brunswick, NJ 08816
Phone (732) 257-1171

345 US Highway 9
Ste 9
Manalapan, NJ 07726
Phone (732) 390-6666

200 Craig Rd
Ste 202
Manalapan, NJ 07726
Phone (732) 845-2200

345 US Highway 9
Manalapan, NJ 07726
Phone (723) 272-4141

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1417312166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 -1 CATHERINE STREET",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CATHERINE ST APT 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242595",
            "telephone_number": "646-637-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENKOVSKIY",
        "first_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "8995099",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "972278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.