Individual provider Active NPI

Shoshana Pritzker, RD

  • Nutritionist
  • East Islip, NY
National Provider Identifier
1841537453
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
007578 Issued in NY
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20251010002711 FL Practitioner - Registered Dietitian Or Nutrition Professional 4880913003 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
007578NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delicious Nutrition LLC CurrentSince Sep 27, 2025 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.

Verify at the official NPI Registry.