Active NPI
Mary McCabe, RD,CDN
- Registered Dietitian
- Lake View, NY
National Provider Identifier
1811756703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010684
- Practice address
- 2148 Hobblebush LN
Lake View, NY 14085-9603 - Phone
- (716) 479-8214
- Fax
- (347) 736-8457
- NPI assigned
- Mar 14, 2024
- Last updated
- Mar 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 010684 | NY | Primary |
Addresses
Primary practice location
2148 Hobblebush LN
Lake View, NY 14085-9603
Mailing address
2148 Hobblebush LN
Lake View, NY 14085-9603
Phone (716) 479-8214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 44TH St
Brooklyn, NY 11219-2080
Phone (347) 746-0453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010684 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Nutrition, LLC | Current | Accepting new patients | |
| Boro Park Dietitian | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1811756703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2148 HOBBLEBUSH LN",
"city": "LAKE VIEW",
"state": "NY",
"postal_code": "140859603",
"telephone_number": "716-479-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 HOBBLEBUSH LN",
"city": "LAKE VIEW",
"state": "NY",
"postal_code": "140859603",
"telephone_number": "716-479-8214",
"fax_number": "347-736-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RD,CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake View, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.