Emily Renee Feivor, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

9525 Queens Blvd
Rego Park, NY 11374-4510

Phone

(718) 975-2415

NPI assigned

Apr 2, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Internal Medicine Physician
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  • NPI 1790043479
  NPD

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1942888557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD FL 3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744510",
            "telephone_number": "718-975-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744510",
            "telephone_number": "718-975-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIVOR",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "86034576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Fayziyev
• Natalya Fazylova, NP
• FCN Surgery Center, LLC
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• Fegs Rego Park MNL HLTH
• Rosalyn Regina Hill Ferguson, LMSW
• Jennifer Eileen Fernandez, MSW
• Kristoffer Fernandez, MS
• Mariel Fernandez
• Ruth Kimberley Fernandez, M.S.

• Registered Dietitian in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.