Active NPI
Marissa Paige Meshulam, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1750845715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86152297
- Practice address
- 33 W 19TH St Ste 405
New York, NY 10011-4333 - Phone
- (888) 669-6163
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 86152297 | Primary |
Addresses
Primary practice location
33 W 19TH St Ste 405
New York, NY 10011-4333
Mailing address
401 E 34TH St Apt S11A
New York, NY 10016-0454
Phone (847) 721-6942
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPM Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1750845715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 34TH ST APT S11A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160454",
"telephone_number": "847-721-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 19TH ST STE 405",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114333",
"telephone_number": "888-669-6163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESHULAM",
"first_name": "MARISSA",
"middle_name": "PAIGE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86152297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.