Individual provider Active NPI

Laura Jean Cortina, DIETITIAN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1487823142
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009376 Issued in NY
Practice address
263 7TH Avenue 5a
Brooklyn, NY 11215
Phone
(718) 246-8600
Fax
(718) 246-8601
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 009376 NY Primary

Addresses

Primary practice location

263 7TH Avenue 5a
Brooklyn, NY 11215

Mailing address

263 7TH Ave Ste 5a
Brooklyn, NY 11215-3691
Phone (718) 246-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001944 NY Practitioner - Registered Dietitian Or Nutrition Professional 0648529271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009376NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Jun 24, 2018 Accepting new patients
Kings Physician Services, PC CurrentSince Jun 24, 2018 Accepting new patients

Locations

263 7th Ave
Ste 5A
Brooklyn, NY 11215
Phone (718) 246-8600

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1487823142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE STE 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153691",
            "telephone_number": "718-246-8600",
            "fax_number": "718-246-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVENUE 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-246-8600",
            "fax_number": "718-246-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009376",
            "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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.