Individual provider Active NPI

Carol A Cook, M.S.R.D.CDN

  • Registered Dietitian
  • Bronx, NY
National Provider Identifier
1497793491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
003157-1 Issued in NY
Practice address
2600 Netherland Ave
Suite 117
Bronx, NY 10463-4801
Phone
(718) 549-3910
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003157-1 NY Primary

Addresses

Primary practice location

2600 Netherland Ave
Suite 117
Bronx, NY 10463-4801

Mailing address

2711 Henry Hudson Pkwy
6A
Bronx, NY 10463-4713
Phone (914) 423-9800

Other names 1

  • Mrs. Carol A Cook M.S.R.D.CDN Other name

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

State licenses

LicenseStateTypeSpecialty
003157-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Comprehensive Dentistry PLLC Past Accepting new patients

Organizations & group practices 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497793491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 HENRY HUDSON PKWY",
            "address_2": "6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634713",
            "telephone_number": "914-423-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "address_2": "SUITE 117",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-549-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S.R.D.CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003157-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "COOK M.S.R.D.CDN",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "M.S.R.D.CDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 8, 2007; 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.