Individual provider Active NPI

Elaine Kuperstein, CDE RD MS

  • Metabolic Nutrition Registered Dietitian
  • East Rockaway, NY
National Provider Identifier
1750406880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
000981 Issued in NY
Practice address
8 Newkirk Ave
East Rockaway, NY 11518-1312
Phone
(516) 599-2376
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 000981 NY Primary

Addresses

Primary practice location

8 Newkirk Ave
East Rockaway, NY 11518-1312

Mailing address

8 Newkirk Ave
East Rockaway, NY 11518-1312
Phone (516) 599-2376

Other identifiers 2

IdentifierTypeStateIssuer
P2679810OtherNYOXFORD
1020025OtherNYAMERICAN SPECIALTY HEALTH

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000981NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750406880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NEWKIRK AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181312",
            "telephone_number": "516-599-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NEWKIRK AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181312",
            "telephone_number": "516-599-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERSTEIN",
        "first_name": "ELAINE",
        "credential": "CDE RD MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "000981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2679810",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1020025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.