Individual provider Active NPI

Steven Zukerman

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1881040921
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86051368 Issued in NY
Practice address
3165 Nostrand Ave Apt 5B
Brooklyn, NY 11229-3233
Phone
(718) 737-2638
NPI assigned
May 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2016

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 86051368 NY Primary

Addresses

Primary practice location

3165 Nostrand Ave Apt 5B
Brooklyn, NY 11229-3233

Mailing address

3165 Nostrand Ave Apt 5B
Brooklyn, NY 11229-3233
Phone (718) 737-2638

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
86051368NYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462665600000",
    "number": "1881040921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 NOSTRAND AVE APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293233",
            "telephone_number": "718-737-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 NOSTRAND AVE APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293233",
            "telephone_number": "718-737-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKERMAN",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86051368",
            "primary": true
        }
    ],
    "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 May 8, 2016; 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.