Individual provider Active NPI

Ingrid Berthomieux, CHES

  • Health Educator
  • Bronx, NY
National Provider Identifier
1720614555
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
25337
Practice address
1 Fordham PLZ FL 5
Bronx, NY 10458-5871
Phone
(929) 220-8468
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 25337 Primary

Addresses

Primary practice location

1 Fordham PLZ FL 5
Bronx, NY 10458-5871

Mailing address

14 County Rd
Closter, NJ 07624-3021
Phone (201) 657-4731

Other identifiers 1

IdentifierTypeStateIssuer
25337OtherNCHEC

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1720614555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COUNTY RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076243021",
            "telephone_number": "201-657-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585871",
            "telephone_number": "929-220-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOMIEUX",
        "first_name": "INGRID",
        "credential": "CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": "25337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCHEC",
            "identifier": "25337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.