Active NPI
Dylan Gilbert
- Nutritionist
- Bronx, NY
National Provider Identifier
1427833672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012240 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Nutrition, LLC | Nutritionist | Current | Accepting new patients |
| Boro Park Dietitian | Past | 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.
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1174385223
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.