Individual provider Active NPI

Julia Roe

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1619796919
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86197963 Issued in NY
Practice address
521 W 57TH St
New York, NY 10019-2929
Phone
(212) 265-8070
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 86197963 NY Primary

Addresses

Primary practice location

521 W 57TH St
New York, NY 10019-2929

Mailing address

1 Bell Slip Apt 4L
Brooklyn, NY 11222-7604
Phone (203) 246-1955

Other practice location 1

521 W 57th St
New York, NY 10019-2929
Phone (212) 265-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703000663 NY Practitioner - Registered Dietitian Or Nutrition Professional 9436662269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86197963NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
International Multiple Sclerosis Management Practice, PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

521 W 57th St
Fl 4
New York, NY 10019
Phone (212) 265-8070

521 W 57th St
New York, NY 10019
Phone (212) 698-0300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1619796919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELL SLIP APT 4L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112227604",
            "telephone_number": "203-246-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192929",
            "telephone_number": "212-265-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 W 57th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192929",
            "country_code": "US",
            "telephone_number": "212-265-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86197963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.

Verify at the official NPI Registry.