Individual provider Active NPI

Svetlana Gertsenshteyn, PHD, MPH, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1902294168
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
816548 Issued in NY
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

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
000667-1NYMDMarriage & Family Therapist
816548NYMDRegistered 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.

Verify at the official NPI Registry.