Marisa Sherry, MS, RD, CDN, CEDRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

010702 Issued in NY

Practice address

928 Broadway Ste 904
New York, NY 10010-8120

Phone

(917) 573-7003

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1629730908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BUCK RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845553",
            "telephone_number": "646-265-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108120",
            "telephone_number": "917-573-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "MARISA",
        "credential": "MS, RD, CDN, CEDRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marisa@marisasherry.com",
            "affiliation": "N",
            "address_1": "928 Broadway Ste 904",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100108120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackson Elijah Sherratt, LCSW
• Mark V Sherrid, M.D.
• Sherrill Fay, DMD, PC
• Nerrissa Jermaka Sherrills, LMSW
• Sherry Shieh, M.D., P.C.
• Martin Sherry
• John Cutler Shershow, M.D.
• Alon Shertzer
• Sherwin Benlevi DDS PC
• Sherwin K Parikh MD PC (Tribeca Skin Center)

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.