Individual provider Active NPI

Karen Moreno, MS, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1932698263
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006945 Issued in NY
Practice address
1988 Ocean Pkwy
Brooklyn, NY 11223-3037
Phone
(917) 673-7540
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 006945 NY Primary

Addresses

Primary practice location

1988 Ocean Pkwy
Brooklyn, NY 11223-3037

Mailing address

1988 Ocean Pkwy
Brooklyn, NY 11223-3037

Other practice location 1

635 Madison Ave
New York, NY 10022-1009
Phone (212) 439-6690

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006945NYMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1932698263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233037",
            "telephone_number": "917-673-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221009",
            "country_code": "US",
            "telephone_number": "212-439-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006945",
            "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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.