Individual provider Active NPI

Maura Benedict, RDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1760136014
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86131614 Issued in GA
Practice address
207 E 94TH St Ste 300-303
New York, NY 10128-3705
Phone
(646) 290-6467
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86131614 GA Primary

Addresses

Primary practice location

207 E 94TH St Ste 300-303
New York, NY 10128-3705

Mailing address

207 E 94TH St Ste 300-303
New York, NY 10128-3705
Phone (646) 290-6467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816002886 NY Practitioner - Registered Dietitian Or Nutrition Professional 4183007685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86131614GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C. Fears, M.D., P.C. CurrentSince Oct 3, 2025 Accepting new patients

Locations

3061 Fillmore St
San Francisco, CA 94123
Phone (415) 292-3440

207 E 94th St
Ste 300
New York, NY 10128
Phone (213) 455-5099

207 E 94th St
Ste 300303
New York, NY 10128
Phone (646) 290-6467

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1760136014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 94TH ST STE 300-303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283705",
            "telephone_number": "646-290-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 94TH ST STE 300-303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283705",
            "telephone_number": "646-290-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "MAURA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "86131614",
            "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 Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.