Active NPI
Mia Rossi, MS, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1528711041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86291366
- Practice address
- 16 Madison SQ W FL 12
New York, NY 10010-1629 - Phone
- (516) 330-0944
- Fax
- (516) 407-5377
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 86291366 | NJ | Primary |
Addresses
Primary practice location
16 Madison SQ W FL 12
New York, NY 10010-1629
Mailing address
16 Madison SQ W FL 12
New York, NY 10010-1629
Phone (516) 330-0944
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86291366 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courtney Darsa Nutrition LLC | Dietitian, Registered | 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.
-
dba Nourishing NY
- Registered Dietitian
- New York, NY
- NPI 1023638392
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1528711041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MADISON SQ W FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101629",
"telephone_number": "516-330-0944",
"fax_number": "516-407-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MADISON SQ W FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101629",
"telephone_number": "516-330-0944",
"fax_number": "516-407-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "MIA",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86291366",
"primary": true
}
],
"identifiers": [],
"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 Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.