Individual provider Active NPI

Malissa Geissler, MS, RD, CDN, CDE

  • Registered Dietitian
  • Plainview, NY
National Provider Identifier
1427568047
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005301 Issued in NY
Practice address
100 Manetto Hill Rd Ste 205
Plainview, NY 11803-1311
Phone
(516) 736-4086
NPI assigned
Oct 10, 2017
Last updated
Oct 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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 005301 NY Primary

Addresses

Primary practice location

100 Manetto Hill Rd Ste 205
Plainview, NY 11803-1311

Mailing address

15 Garden Cir
Syosset, NY 11791-4802
Phone (516) 364-3609

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1427568047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GARDEN CIR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914802",
            "telephone_number": "516-364-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD STE 205",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-736-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSLER",
        "first_name": "MALISSA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.