Active NPI
Helena Maiken Wiese, M.S., R.D.
- Registered Dietitian
- New York, NY
National Provider Identifier
1669865994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1108363
- Practice address
- 33 W 19TH St
4TH Floor
New York, NY 10011-4333 - Phone
- (212) 203-7572
- NPI assigned
- Mar 11, 2015
- 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 | 1108363 | NY | Primary |
Addresses
Primary practice location
33 W 19TH St
4TH Floor
New York, NY 10011-4333
Mailing address
33 W 19TH St
4TH Floor
New York, NY 10011-4333
Phone (212) 203-7572
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108363 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1669865994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W 19TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114333",
"telephone_number": "212-203-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 19TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114333",
"telephone_number": "212-203-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESE",
"first_name": "HELENA",
"middle_name": "MAIKEN",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1108363",
"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 Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.