Active NPI
Shelley Mesznik, RD
- Registered Dietitian
- Mount Kisco, NY
National Provider Identifier
1669402574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 003870-1
- Practice address
- 36 Old Town Xing
Mount Kisco, NY 10549-4027 - Phone
- (914) 242-9888
- Fax
- (914) 242-9889
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 8, 2007
- 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 | 003870-1 | NY | Primary |
Addresses
Primary practice location
36 Old Town Xing
Mount Kisco, NY 10549-4027
Mailing address
36 Old Town Xing
Mount Kisco, NY 10549-4027
Phone (914) 242-9888
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151609 | Other | AETNA | |
| P00232810 | Other | RAILROAD MEDICARE | |
| P1135904 | Other | OXFORD | |
| 17931P | Other | HIP | |
| 390254 | Other | CONNECTICARE | |
| S0250 | Other | EMPIRE BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003870-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669402574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 OLD TOWN XING",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105494027",
"telephone_number": "914-242-9888",
"fax_number": "914-242-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 OLD TOWN XING",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105494027",
"telephone_number": "914-242-9888",
"fax_number": "914-242-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESZNIK",
"first_name": "SHELLEY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "003870-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2151609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00232810",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1135904",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "17931P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "390254",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "S0250",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.