Individual provider Active NPI

Dylan Gilbert

  • Nutritionist
  • Bronx, NY
National Provider Identifier
1427833672
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
3801 Hudson Manor Ter Apt 4E
Bronx, NY 10463-1115
Phone
(917) 921-4983
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

3801 Hudson Manor Ter Apt 4E
Bronx, NY 10463-1115

Mailing address

3801 Hudson Manor Ter Apt 4E
Bronx, NY 10463-1115
Phone (917) 921-4983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000051 NY Practitioner - Registered Dietitian Or Nutrition Professional 3375068018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Nutrition LLCGroup PAC ID 7012334402, 10 clinicians

Practice addresses (Care Compare)

1225 44TH St
Brooklyn, NY 11219-2080
Phone (347) 746-0453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012240NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Nutrition, LLC Nutritionist CurrentSince Feb 7, 2025 Accepting new patients
Boro Park Dietitian PastSince Jan 28, 2024 Accepting new patients

Locations

29 Little Nassau St
Ste 115
Brooklyn, NY 11205

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1427833672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HUDSON MANOR TER APT 4E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631115",
            "telephone_number": "917-921-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HUDSON MANOR TER APT 4E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631115",
            "telephone_number": "917-921-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "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 Aug 28, 2023; 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.