Active NPI
Anuradha Jara, RDN
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1417466616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007529
- Practice address
- 1400 Pelham Pkwy S BLDG 1B16
Bronx, NY 10461-1119 - Phone
- (718) 918-4434
- NPI assigned
- Sep 20, 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 | 007529 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S BLDG 1B16
Bronx, NY 10461-1119
Mailing address
1400 Pelham Parkway
Building 1. B 16. Food & Nutrition
Bronx, NY 10461-1119
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 |
|---|---|---|---|
| 007529 | NY | MD | Mental Health Counselor |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1417466616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY",
"address_2": "BUILDING 1. B 16. FOOD & NUTRITION",
"city": "BRONX",
"state": "NY",
"postal_code": "104611119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S BLDG 1B16",
"city": "BRONX",
"state": "NY",
"postal_code": "104611119",
"telephone_number": "718-918-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARA",
"first_name": "ANURADHA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.