Active NPI
Marion E Groetch, MS RD CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1649439795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 717116
- Practice address
- 5 E 98TH St
Mount Sinai School of Medicine
New York, NY 10029-6501 - Phone
- (212) 241-8925
- Fax
- (212) 426-1902
- NPI assigned
- Jun 4, 2008
- 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 | 717116 | NY | Primary |
Addresses
Primary practice location
5 E 98TH St
Mount Sinai School of Medicine
New York, NY 10029-6501
Mailing address
1 Gustave L Levy Place Box 1198
Mount Sinai School of Medicine
New York, NY 10029-6574
Phone (212) 241-8925
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717116 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1649439795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PLACE BOX 1198",
"address_2": "MOUNT SINAI SCHOOL OF MEDICINE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-8925",
"fax_number": "212-426-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"address_2": "MOUNT SINAI SCHOOL OF MEDICINE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296501",
"telephone_number": "212-241-8925",
"fax_number": "212-426-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROETCH",
"first_name": "MARION",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MS RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "717116",
"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 Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.