Active NPI
Samantha Haber, R.D.
- Registered Dietitian
- New York, NY
National Provider Identifier
1790181485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86013650
- Practice address
- 275 7TH Ave Ste 731
New York, NY 10001 - Phone
- (248) 227-7668
- NPI assigned
- Nov 7, 2014
- Last updated
- Oct 17, 2018
- 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 | 86013650 | NY | Primary |
Addresses
Primary practice location
275 7TH Ave Ste 731
New York, NY 10001
Mailing address
77 W 24TH St Apt 28D
New York, NY 10010-3229
Phone (248) 227-7668
Other practice location 1
275 7th Ave Ste 731
New York, NY 10001
Phone (248) 227-7668
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86013650 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Works Ny LLC | Dietitian, Registered | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1790181485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W 24TH ST APT 28D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103229",
"telephone_number": "248-227-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 7TH AVE STE 731",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "248-227-7668"
}
],
"practiceLocations": [
{
"address_1": "275 7th Ave Ste 731",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10001",
"country_code": "US",
"telephone_number": "248-227-7668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABER",
"first_name": "SAMANTHA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86013650",
"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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.