Active NPI
Anna Burrowes-Mulvey, RDN, CDCES
- Registered Dietitian
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1020834
- Practice address
- 70 N Country Rd Ste 303
Port Jefferson, NY 11777-2161 - Phone
- (631) 621-4093
- NPI assigned
- Mar 5, 2024
- 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 | 1020834 | NY | Primary |
Addresses
Primary practice location
70 N Country Rd Ste 303
Port Jefferson, NY 11777-2161
Mailing address
1297 Hiram Ave
Holbrook, NY 11741-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harbor View Medical Services PC
Practice addresses (Care Compare)
125 Oakland Ave
Suite 203
Port Jefferson, NY 11777-2130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020834 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor View Medical Services PC | Current | Accepting new patients | |
| Harbor View Medical Services PC | Current | Accepting new patients | |
| Harbor View Medical Services PC | Current | Accepting new patients |
Locations
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
70 N Country Rd
Ste 303
Port Jefferson, NY 11777
Phone (631) 621-4093
125 Oakland Ave
Ste 205
Port Jefferson, NY 11777
Phone (631) 686-2523
125 Oakland Ave
Ste 203
Prt Jefferson, NY 11777
Phone (631) 686-2551
75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Internal Medicine Physician
- Port Jefferson, NY
- NPI 1306631742
-
- Pulmonary Disease Physician
- Port Jefferson, NY
- NPI 1861636219
-
- Endocrinology, Diabetes & Metabolism Physician
- Port Jefferson, NY
- NPI 1588070403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1669239703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 HIRAM AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117413911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD STE 303",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-621-4093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROWES-MULVEY",
"first_name": "ANNA",
"credential": "RDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1020834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.