Individual provider Active NPI

Janice M. Pawliw, R.D., C.D.N.

  • Registered Dietitian
  • Far Rockaway, NY
National Provider Identifier
1861693889
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R381777 Issued in NY
Practice address
316 Beach 65TH St
Far Rockaway, NY 11692-1425
Phone
(718) 474-3800
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X R381777 NY Primary

Addresses

Primary practice location

316 Beach 65TH St
Far Rockaway, NY 11692-1425

Mailing address

295 Brompton Rd S
Garden City, NY 11530-5606
Phone (516) 428-0634

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

State licenses

LicenseStateTypeSpecialty
R381777NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Daytop Village, Inc Past 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1861693889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BROMPTON RD S",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305606",
            "telephone_number": "516-428-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116921425",
            "telephone_number": "718-474-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIW",
        "first_name": "JANICE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "R.D., C.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "R381777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.