Individual provider Active NPI

Jaimie Ravit, RD

  • Registered Dietitian
  • Levittown, NY
National Provider Identifier
1790306264
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86012010
Practice address
9 Booth LN
Levittown, NY 11756-1805
Phone
(516) 816-4200
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86012010 NY
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 86012010 Primary

Addresses

Primary practice location

9 Booth LN
Levittown, NY 11756-1805

Mailing address

9 Booth LN
Levittown, NY 11756-1805

Other practice location 1

5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (332) 323-3123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaimie.ravit@mountsinai.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116003137 NY Practitioner - Registered Dietitian Or Nutrition Professional 9335538107 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86012010NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 13, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Aug 13, 2021 Accepting new patients

Locations

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091

Organizations & group practices 2

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1790306264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BOOTH LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BOOTH LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561805",
            "telephone_number": "516-816-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Cuba Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "117401624",
            "country_code": "US",
            "telephone_number": "332-323-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVIT",
        "first_name": "JAIMIE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86012010",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86012010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaimie.ravit@mountsinai.org",
            "affiliation": "N",
            "address_1": "5 Cuba Hill Rd",
            "city": "Greenlawn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117401624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.