Active NPI
Brocha Newman, CDN
- Nutritionist
- Cedarhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 0084451
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0084451 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Nutrition, LLC | Nutritionist | Current | Accepting new patients |
| Hicksville Family Medical Care, PLLC | Current | 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 | Past | 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
- 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.
-
dba Nao Medical
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1174385223
-
dba Nao Medical
- Urgent Care Clinic/Center
- Mineola, NY
- NPI 1336426667
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.