NPIMap

Individual provider Active NPI

Suzanne H Rockman-Klein, RD,CDN

  • Nutritionist
  • Suffern, NY
National Provider Identifier
1801820485
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
000758 Issued in NY
Practice address
3 Neva CT
Suffern, NY 10901-3329
Phone
(914) 523-4591
Fax
(845) 362-1338
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 000758 NY Primary

Addresses

Primary practice location

3 Neva CT
Suffern, NY 10901-3329

Mailing address

3 Neva CT
Suffern, NY 10901-3329
Phone (914) 523-4591

Other identifiers 1

IdentifierTypeStateIssuer
01421705MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000758NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Run Healthcare Physicians LLP Past Accepting new patients
Nutrition Improvement Center Past Accepting new patients
Rockland Orthopedics and Sports Medicine PC Past Accepting new patients
Iris Epstein & Associates LLC Past Accepting new patients
Flowing Physical Therapy PLLC Past Accepting new patients
Highland Medical P.C. PastSince Mar 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1801820485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEVA CT",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013329",
            "telephone_number": "914-523-4591",
            "fax_number": "845-362-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NEVA CT",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013329",
            "telephone_number": "914-523-4591",
            "fax_number": "845-362-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKMAN-KLEIN",
        "first_name": "SUZANNE",
        "middle_name": "H",
        "credential": "RD,CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "000758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.