Individual provider Active NPI

Robin L Foroutan, R.D.

  • Registered Dietitian
  • North Caldwell, NJ
National Provider Identifier
1578854782
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00998562
Practice address
21 Hamilton Dr N
North Caldwell, NJ 07006-4609
Phone
(917) 453-2517
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 00998562 Primary

Addresses

Primary practice location

21 Hamilton Dr N
North Caldwell, NJ 07006-4609

Mailing address

21 Hamilton Dr N
North Caldwell, NJ 07006-4609
Phone (917) 453-2517

Other practice location 1

461 Park Ave S Fl 12
New York, NY 10016-7567
Phone (212) 989-9828

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1578854782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAMILTON DR N",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064609",
            "telephone_number": "917-453-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAMILTON DR N",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064609",
            "telephone_number": "917-453-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 Park Ave S Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100167567",
            "country_code": "US",
            "telephone_number": "212-989-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOROUTAN",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "00998562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.