Active NPI
Haruko Oyama, MS, RD, CDN, CNSC
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1720684046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006616-01
- Practice address
- 4256 Bronx Blvd Ste 9
Bronx, NY 10466-2673 - Phone
- (718) 547-2011
- Fax
- (718) 547-0341
- NPI assigned
- Dec 10, 2020
- 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 | 006616-01 | NY | Primary |
Addresses
Primary practice location
4256 Bronx Blvd Ste 9
Bronx, NY 10466-2673
Mailing address
60 Ridge Rd
Hartsdale, NY 10530-2211
Phone (914) 406-5126
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 |
|---|---|---|---|
| 006616-01 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1720684046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 RIDGE RD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105302211",
"telephone_number": "914-406-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4256 BRONX BLVD STE 9",
"city": "BRONX",
"state": "NY",
"postal_code": "104662673",
"telephone_number": "718-547-2011",
"fax_number": "718-547-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYAMA",
"first_name": "HARUKO",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDN, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006616-01",
"primary": true
}
],
"identifiers": [],
"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 Dec 10, 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.