Active NPI
Alton Miftari, MS, RD, CDN
- Sports Dietetics Nutrition Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1821701004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 86175639
- Practice address
- 153 W End Ave FL 1
Brooklyn, NY 11235-4824 - Phone
- (718) 916-3380
- NPI assigned
- Jan 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 86175639 | NY | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | 86175638 | NY | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86175638 | NY | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 86175638 | NY | |
| Registered Dietitian | 133V00000X | 86175639 | NY |
Addresses
Primary practice location
153 W End Ave FL 1
Brooklyn, NY 11235-4824
Mailing address
2990 Brighton 12TH St Apt 1D
Brooklyn, NY 11235-4704
Phone (718) 916-3380
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86175639 | NY | MD | Registered Dietitian |
| 86175638 | NY | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miftari Nutrition LLC | Dietitian, Registered | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1821701004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 BRIGHTON 12TH ST APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354704",
"telephone_number": "718-916-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W END AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354824",
"telephone_number": "718-916-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIFTARI",
"first_name": "ALTON",
"credential": "MS, RD, CDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "NY",
"license": "86175639",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NY",
"license": "86175638",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "86175638",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NY",
"license": "86175638",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86175639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.