Individual provider Active NPI

Josephine Catherine Thiele, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1417612276
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010722 Issued in NY
Practice address
94-98 Manhattan Ave
Brooklyn, NY 11206
Phone
(718) 486-4576
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 010722 NY Primary

Addresses

Primary practice location

94-98 Manhattan Ave
Brooklyn, NY 11206

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (718) 486-4576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117002969 NY Practitioner - Registered Dietitian Or Nutrition Professional 6002205739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 778-0198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc CurrentSince Jan 30, 2024 Accepting new patients
Community Healthcare Network Inc Past Accepting new patients

Locations

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

94 Manhattan Ave
#98
Brooklyn, NY 11206

9704 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 657-7088

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

504 W 158th St
Rm 511
New York, NY 10032

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: josephine.thiele@chn.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1417612276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "718-486-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-98 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-486-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELE",
        "first_name": "JOSEPHINE",
        "middle_name": "CATHERINE",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010722",
            "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 Nov 5, 2021; 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.