Individual provider Active NPI

Mindy Gorman-Plutzer, HHC, CEPC

  • Nutritionist
  • New York, NY
National Provider Identifier
1801307723
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
94793205 Issued in NY
Practice address
74 E 79TH St Apt 5a
New York, NY 10075-0266
Phone
(646) 726-4084
Fax
(212) 838-0863
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 94793205 NY Primary

Addresses

Primary practice location

74 E 79TH St Apt 5a
New York, NY 10075-0266

Mailing address

74 E 79TH St Apt 5a
New York, NY 10075-0266
Phone (646) 726-4084

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

LicenseStateTypeSpecialty
94793205NYMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1801307723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E 79TH ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750266",
            "telephone_number": "646-726-4084",
            "fax_number": "212-838-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E 79TH ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750266",
            "telephone_number": "646-726-4084",
            "fax_number": "212-838-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN-PLUTZER",
        "first_name": "MINDY",
        "credential": "HHC, CEPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "94793205",
            "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 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.