Individual provider Active NPI

Brocha Newman, CDN

  • Nutritionist
  • Cedarhurst, NY
National Provider Identifier
1740725233
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0084451 Issued in NY
Practice address
551 Arlington Rd
Cedarhurst, NY 11516-1238
Phone
(718) 753-6366
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0084451 NY Primary

Addresses

Primary practice location

551 Arlington Rd
Cedarhurst, NY 11516-1238

Mailing address

551 Arlington Rd
Cedarhurst, NY 11516-1238
Phone (718) 753-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910001095 NY Practitioner - Registered Dietitian Or Nutrition Professional 1153749932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

232 W Old Country Rd
Hicksville, NY 11801-4011
Phone (516) 938-1550

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0084451NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Nutrition, LLC Nutritionist CurrentSince Jun 1, 2020 Accepting new patients
Hicksville Family Medical Care, PLLC CurrentSince Mar 16, 2024 Accepting new patients
JPR Urgent Medical Care Past Accepting new patients
Statcare Urgent & Walk in Medical Care PLLC Past Accepting new patients
Boro Park Dietitian PastSince Jan 28, 2024 Accepting new patients

Locations

3715 23rd Ave
Ste B
Astoria, NY 11105

2063 Bartow Ave
Ste B
Bronx, NY 10475

932 E 174th St
Ste B
Bronx, NY 10460

341 Eastern Pkwy
Ste B
Brooklyn, NY 11216

308 Graham Ave
Ste B
Brooklyn, NY 11211

232 W Old Country Rd
Ste B
Hicksville, NY 11801

412 S Broadway
Hicksville, NY 11801
Phone (516) 938-1150

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

8010 Northern Blvd
Ste B
Jackson Heights, NY 11372

9018 Sutphin Blvd
Ste B
Jamaica, NY 11435

3007 36th Ave
Ste B
Long Island City, NY 11106

135 Mineola Blvd
Ste B
Mineola, NY 11501

259 1st Ave
Ste B
New York, NY 10003

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: brocha.newman@suwmc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1740725233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 ARLINGTON RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161238",
            "telephone_number": "718-753-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ARLINGTON RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161238",
            "telephone_number": "718-753-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BROCHA",
        "credential": "CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "0084451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.