Nina Brodsky-Beno, RD
Individual provider Active NPI Registered Dietitian · East Rockaway, NY
NPI 1447360540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447360540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 001549 (NY)
- Practice address
- 31 Mallow Rd
East Rockaway, NY 11518 - Phone
- (516) 593-9610
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080910000034 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 4688740905 | Practice locations: East Rockaway, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671589 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 671589 | NY | |
| Registered Dietitian | 133V00000X | 001549 | NY | Yes |
Addresses
Primary practice location
31 Mallow Rd
East Rockaway, NY 11518
Mailing address
14 Bulaire Rd
East Rockaway, NY 11518
Phone (516) 593-9610
Other providers in East Rockaway, NY
- Bel Rehabilitation PT, PC.
- Arielle Berkley
- Cheryl Ann Bernstein
- Bright Achievers Inc.
- Rebecca Bristol
- Janine Marie Buccheri
- Joanne Button
- Vincente A Calderon
- Bradley Camhi
- Denise Canlon
All providers in East Rockaway, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.