Individual provider Active NPI

Malka Sperlin

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1881461077
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86253314 Issued in NY
Practice address
1295 President St
Brooklyn, NY 11213-4237
Phone
(917) 865-8890
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 86253314 NY Primary

Addresses

Primary practice location

1295 President St
Brooklyn, NY 11213-4237

Mailing address

1295 President St
Brooklyn, NY 11213-4237
Phone (917) 865-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022000968 NY Practitioner - Registered Dietitian Or Nutrition Professional 2365974888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Nutrition LLCGroup PAC ID 7012334402, 10 clinicians

Practice addresses (Care Compare)

1225 44TH St
Brooklyn, NY 11219-2080
Phone (347) 746-0453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011861NYMDClinical Psychologist
86253314NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Nutrition, LLC CurrentSince Oct 1, 2024 Accepting new patients
Boro Park Dietitian Dietitian, Registered PastSince Jan 28, 2024 Accepting new patients

Locations

185 Clymer St
Brooklyn, NY 11211

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1881461077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134237",
            "telephone_number": "917-865-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134237",
            "telephone_number": "917-865-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLIN",
        "first_name": "MALKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86253314",
            "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 Dec 7, 2023; 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.