Maimouna Feller, R.D, C.D.N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

991852 Issued in NY

Practice address

369 Washington Ave
1A
Brooklyn, NY 11238-1142

Phone

(917) 309-4818

NPI assigned

Oct 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maya Feller Nutrition Inc

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1588246581

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1649608969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WASHINGTON AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381142",
            "telephone_number": "917-309-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 WASHINGTON AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381142",
            "telephone_number": "917-309-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "MAIMOUNA",
        "credential": "R.D, C.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "007404",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "991852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan R. Fell, LCSW
• Millie R Fell, MD
• Rachel Fell
• Ashley Marie Fellbaum
• Chaya Mushka Feller
• Fellerdom Pharmacy Inc
• Rivka Fellig
• Sara E Fellig
• Fellowship and Community Center
• Fellowship Resources Center LLC

• Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, 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 23, 2013; 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.