Active NPI
Svetlana Gertsenshteyn, PHD, MPH, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1902294168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 816548
- Practice address
- 1245 E 35TH St FL 2
Brooklyn, NY 11210-4821 - Phone
- (917) 615-6534
- NPI assigned
- Dec 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000667-1 | NY | |
| Registered Dietitian | 133V00000X | 816548 | NY | Primary |
Addresses
Primary practice location
1245 E 35TH St FL 2
Brooklyn, NY 11210-4821
Mailing address
1245 E 35TH St FL 2
Brooklyn, NY 11210-4821
Phone (917) 615-6534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011002862 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 4981992708 | Practice locations: Brooklyn, NY |
| I20250519000682 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 4981992708 | Practice locations: Lititz, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Brooklyn, NY 11210
Phone (917) 615-6534
12 Wade Dr
Lititz, PA 17543-3107
Phone (917) 615-6534
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000667-1 | NY | MD | Marriage & Family Therapist |
| 816548 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1902294168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 E 35TH ST FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104821",
"telephone_number": "917-615-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 E 35TH ST FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104821",
"telephone_number": "917-615-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTSENSHTEYN",
"first_name": "SVETLANA",
"name_prefix": "Dr.",
"credential": "PHD, MPH, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000667-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "816548",
"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 Feb 22, 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.