Individual provider Active NPI

Robin Israel, RD, LD

  • Registered Dietitian
  • Ambler, PA
National Provider Identifier
1902667157
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
12711 Issued in FL
Practice address
300 Brookside Ave Ste 180
Ambler, PA 19002-3436
Phone
(877) 842-2425
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 12711 FL Primary

Addresses

Primary practice location

300 Brookside Ave Ste 180
Ambler, PA 19002-3436

Mailing address

300 Brookside Ave Ste 180
Ambler, PA 19002-3436
Phone (877) 842-2425

Other practice location 1

275 Sumac Rd
Highland Park, IL 60035-4441
Phone (224) 577-5570

Other practice location 2

10667 Brightman Blvd Apt 6205
Jacksonville, FL 32246-7525
Phone (224) 577-5570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002718 PA Practitioner - Registered Dietitian Or Nutrition Professional 3476095365 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
Telehealth
Offers telehealth services
Group practices
Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

300 Brookside Ave
Suite 125
Ambler, PA 19002-3436
Phone (877) 842-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health Dietitian, Registered CurrentSince May 1, 2024 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Ste 180
Ambler, PA 19002
Phone (484) 450-8488

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

300 Brookside Ave
Bldg 18
Ambler, PA 19002
Phone (877) 842-2425

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1902667157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 180",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "877-842-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 180",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "877-842-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Sumac Rd",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600354441",
            "country_code": "US",
            "telephone_number": "224-577-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10667 Brightman Blvd Apt 6205",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322467525",
            "country_code": "US",
            "telephone_number": "224-577-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "ROBIN",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.