Active NPI
Shoshana Pritzker, RD
- Nutritionist
- East Islip, NY
National Provider Identifier
1841537453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 007578
- Practice address
- 10 1St Ave
East Islip, NY 11730-2009 - Phone
- (407) 808-6059
- Fax
- (631) 775-7636
- NPI assigned
- Jan 16, 2013
- Last updated
- Oct 20, 2014
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 007578 | NY | Primary |
Addresses
Primary practice location
10 1St Ave
East Islip, NY 11730-2009
Mailing address
10 1St Ave
East Islip, NY 11730-2009
Phone (407) 808-6059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Florida International Univ, College of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2411 Chinook TRL
Maitland, FL 32751-4077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007578 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delicious Nutrition LLC | 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, 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": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1841537453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 1ST AVE",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302009",
"telephone_number": "407-808-6059",
"fax_number": "631-775-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 1ST AVE",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302009",
"telephone_number": "407-808-6059",
"fax_number": "631-775-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITZKER",
"first_name": "SHOSHANA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "007578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.