Active NPI
Miriam Shurpin, RDN CDN
- Registered Dietitian
- Pomona, NY
National Provider Identifier
1619413457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008807
- Practice address
- 9 Emerald Dr
Pomona, NY 10970-2824 - Phone
- (347) 525-8829
- NPI assigned
- Jan 18, 2017
- 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 | 008807 | NY | Primary |
Addresses
Primary practice location
9 Emerald Dr
Pomona, NY 10970-2824
Mailing address
9 Emerald Dr
Pomona, NY 10970-2824
Phone (347) 525-8829
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 |
|---|---|---|---|
| 008807 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1619413457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EMERALD DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109702824",
"telephone_number": "347-525-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EMERALD DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109702824",
"telephone_number": "347-525-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHURPIN",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "RDN CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008807",
"primary": true
}
],
"identifiers": [],
"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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.