Active NPI
Janice M. Pawliw, R.D., C.D.N.
- Registered Dietitian
- Far Rockaway, NY
National Provider Identifier
1861693889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R381777
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| R381777 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Abuse Rehabilitation Facility
- Far Rockaway, NY
- NPI 1154442879
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.