Individual provider Active NPI

Dana Huber, RD

  • Registered Dietitian
  • Woodcliff Lake, NJ
National Provider Identifier
1659986644
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86023934 Issued in NY
Practice address
58 Winding Way
Woodcliff Lake, NJ 07677-7930
Phone
(516) 698-7955
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 86023934 NY Primary

Addresses

Primary practice location

58 Winding Way
Woodcliff Lake, NJ 07677-7930

Mailing address

58 Winding Way
Woodcliff Lake, NJ 07677-7930
Phone (516) 698-7955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260519004812 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3971072885 Reassigns benefits to 1 organization
I20260528000533 NY Practitioner - Registered Dietitian Or Nutrition Professional 3971072885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2023

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86023934NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Minimally Invasive Surgery, P.C. Past Accepting new patients
New York Bariatric Surgery Group PLLC PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 3

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1659986644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WINDING WAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777930",
            "telephone_number": "516-698-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WINDING WAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777930",
            "telephone_number": "516-698-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "DANA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86023934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.