Active NPI
Mary Vivian Dye, MPH, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1922390855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 963080
- Practice address
- 116 Clinton St
Rear Office #2
Brooklyn, NY 11201-4204 - Phone
- (646) 593-2407
- NPI assigned
- May 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 963080 | NY | Primary |
Addresses
Primary practice location
116 Clinton St
Rear Office #2
Brooklyn, NY 11201-4204
Mailing address
217 1/2 Smith St
#2
Brooklyn, NY 11201-6436
Phone (646) 593-2407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 963080 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Dye Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Virginia Beach, VA
- NPI 1639697667
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1922390855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 1/2 SMITH ST",
"address_2": "#2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016436",
"telephone_number": "646-593-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CLINTON ST",
"address_2": "REAR OFFICE #2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014204",
"telephone_number": "646-593-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "MARY",
"middle_name": "VIVIAN",
"credential": "MPH, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "963080",
"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 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.