Active NPI
Shelley Gail Rothbart, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1518124486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000746
- Practice address
- 210 E 68TH St Ste 1H
New York, NY 10065-6024 - Phone
- (212) 628-9274
- Fax
- (212) 658-9854
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000746 | NY | Primary |
Addresses
Primary practice location
210 E 68TH St Ste 1H
New York, NY 10065-6024
Mailing address
210 E 68TH St Ste 1H
New York, NY 10065-6024
Phone (212) 628-9274
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026543004 | Other | NY | CIGNA HEALTH PLANS |
| P2543447 | Other | NY | OXFORD HEALTH PLANS |
| 1868517 | Other | NY | UNITED HEALTH PLAN |
| 03P541 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000746 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1518124486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 68TH ST STE 1H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656024",
"telephone_number": "212-628-9274",
"fax_number": "212-658-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 68TH ST STE 1H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656024",
"telephone_number": "212-628-9274",
"fax_number": "212-658-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHBART",
"first_name": "SHELLEY",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLANS",
"identifier": "026543004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2543447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "1868517",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "03P541",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.