Active NPI
Mindy Fox, MS, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1578039806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009639-1
- Practice address
- 1225 44TH St
Brooklyn, NY 11219-2080 - Phone
- (347) 746-0453
- NPI assigned
- Oct 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009639-1 | NY | Primary |
| Registered Dietitian | 133V00000X | 86084762 |
Addresses
Primary practice location
1225 44TH St
Brooklyn, NY 11219-2080
Mailing address
2952 W Birchwood Ave
Chicago, IL 60645-1220
Phone (847) 858-0854
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 |
|---|---|---|---|
| 009639-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Dietitian | Dietitian, Registered | Past | Accepting new patients |
| Boro Park Nutrition, LLC | Past | Accepting new patients |
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.
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1578039806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 W BIRCHWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451220",
"telephone_number": "847-858-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 44TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192080",
"telephone_number": "347-746-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MINDY",
"credential": "MS, RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-13",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009639-1",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86084762",
"primary": false
}
],
"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 Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.