Active NPI
Iris R Epstein, R.D.CDN
- Nutritionist
- Pomona, NY
National Provider Identifier
1538109780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 003101-1
- Practice address
- 978 Route 45 Ste 107
Pomona, NY 10970-3512 - Phone
- (845) 362-1300
- Fax
- (914) 352-0325
- NPI assigned
- Jun 7, 2006
- Last updated
- Oct 8, 2021
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 003101-1 | NY | Primary |
Addresses
Primary practice location
978 Route 45 Ste 107
Pomona, NY 10970-3512
Mailing address
978 Route 45 Ste 107
Pomona, NY 10970-3512
Phone (845) 362-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01421705 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000789 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 9537124466 | Practice locations: Pomona, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003101-1 | NY | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Epstein & Associates LLC | Current | Accepting new patients | |
| Nutrition Improvement Center | Past | Accepting new patients |
Locations
978 Route 45
Ste 107
Pomona, NY 10970
Phone (845) 362-1300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Pomona, NY
- NPI 1306356274
-
- Registered Dietitian
- Pomona, NY
- NPI 1902002983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1538109780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 107",
"city": "POMONA",
"state": "NY",
"postal_code": "109703512",
"telephone_number": "845-362-1300",
"fax_number": "914-352-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 107",
"city": "POMONA",
"state": "NY",
"postal_code": "109703512",
"telephone_number": "845-362-1300",
"fax_number": "914-352-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "IRIS",
"middle_name": "R",
"credential": "R.D.CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "003101-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01421705",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.