Active NPI
Sujata Patel, RD, CDN, CCN
- Registered Dietitian
- Cos Cob, CT
National Provider Identifier
1609008028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000852
- Practice address
- 35 River Rd
Center for Integrative Medicin
Cos Cob, CT 06807-2759 - Phone
- (203) 863-3615
- Fax
- (203) 863-4538
- NPI assigned
- Aug 18, 2009
- Last updated
- May 6, 2010
- 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 | 000852 | CT | Primary |
Addresses
Primary practice location
35 River Rd
Center for Integrative Medicin
Cos Cob, CT 06807-2759
Mailing address
250 Mercer Street
Suit B 308
New York, NY 10012
Phone (203) 863-3617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000852 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
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 |
|---|---|---|---|
| 000852 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1609008028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MERCER STREET",
"address_2": "SUIT B 308",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10012",
"telephone_number": "203-863-3617",
"fax_number": "203-863-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 RIVER RD",
"address_2": "CENTER FOR INTEGRATIVE MEDICIN",
"city": "COS COB",
"state": "CT",
"postal_code": "068072759",
"telephone_number": "203-863-3615",
"fax_number": "203-863-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUJATA",
"credential": "RD, CDN, CCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH",
"identifier": "000852",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.