Active NPI
Tanya Marton-Berg, MS, RD, CDN
- Registered Dietitian
- Cedarhurst, NY
National Provider Identifier
1780987198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005930-1
- Practice address
- 123 Grove Ave
Suite 100
Cedarhurst, NY 11516-2322 - Phone
- (516) 458-4070
- NPI assigned
- Dec 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005930-1 | NY | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 005930-1 | NY |
Addresses
Primary practice location
123 Grove Ave
Suite 100
Cedarhurst, NY 11516-2322
Mailing address
123 Grove Ave
Suite 100
Cedarhurst, NY 11516-2322
Phone (516) 458-4070
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005930-1 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1780987198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GROVE AVE",
"address_2": "SUITE 100",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162322",
"telephone_number": "516-458-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 GROVE AVE",
"address_2": "SUITE 100",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162322",
"telephone_number": "516-458-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTON-BERG",
"first_name": "TANYA",
"credential": "MS, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005930-1",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "005930-1",
"primary": false
}
],
"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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.