Active NPI
Rachel Kofsky, MA RD CSP CDN LDN
- Pediatric Nutrition Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1720450695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 48 008291
- Practice address
- 836 S Front St
Philadelphia, PA 19147-4343 - Phone
- (914) 393-6814
- NPI assigned
- Oct 30, 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 48 008291 | NY | Primary |
Addresses
Primary practice location
836 S Front St
Philadelphia, PA 19147-4343
Mailing address
836 S Front St
Philadelphia, PA 19147-4343
Phone (914) 393-6814
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48 008291 | NY | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Salmon, Rd LLC | Past | Accepting new patients | |
| Keepcare LLC | 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": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1720450695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 S FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474343",
"telephone_number": "914-393-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 S FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474343",
"telephone_number": "914-393-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOFSKY",
"first_name": "RACHEL",
"credential": "MA RD CSP CDN LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "48 008291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.