Active NPI
Rebecca Kimberly Tolan, RDN, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1669197182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 011120
- Practice address
- 353 E 83Rd St Apt 2E
New York, NY 10028-4357 - Phone
- (516) 965-0634
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 011120 | NY | Primary |
Addresses
Primary practice location
353 E 83Rd St Apt 2E
New York, NY 10028-4357
Mailing address
353 E 83Rd St Apt 2E
New York, NY 10028-4357
Phone (516) 965-0634
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011120 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition With Rebecca, PLLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1669197182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 E 83RD ST APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100284357",
"telephone_number": "516-965-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 E 83RD ST APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100284357",
"telephone_number": "516-965-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAN",
"first_name": "REBECCA",
"middle_name": "KIMBERLY",
"credential": "RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011120",
"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 Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.