Individual provider Active NPI

Lisa Moskovitz, R.D., C.D.N, C.P.T.

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1962776542
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007038 Issued in NY
Practice address
211 East 35TH Street
Apt 1S
New York, NY 10016-2805
Phone
(732) 598-7221
Fax
(917) 398-1344
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 007038 NY
Registered Dietitian 133V00000X 007038 NY Primary
Metabolic Nutrition Registered Dietitian 133VN1006X 007038 NY

Addresses

Primary practice location

211 East 35TH Street
Apt 1S
New York, NY 10016-2805

Mailing address

211 East 35TH Street, Apt 1S
New York, NY 10016-2805
Phone (732) 598-7221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022001501 NY Practitioner - Registered Dietitian Or Nutrition Professional 2062647373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

136 Madison Ave
Suite 503
New York, NY 10016-6711
Phone (646) 660-5661

211 E 35TH St
Apt 1S
New York, NY 10016-4200
Phone (646) 660-5661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007038NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Moskovitz Nutrition PLLC Dietitian, Registered CurrentSince Feb 3, 2014 Accepting new patients

Locations

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

136 Madison Ave
#503
New York, NY 10016
Phone (646) 660-5661

277 Park Ave
New York, NY 10172
Phone (516) 659-6319

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1962776542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EAST 35TH STREET, APT 1S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162805",
            "telephone_number": "732-598-7221",
            "fax_number": "917-398-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST 35TH STREET",
            "address_2": "APT 1S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162805",
            "telephone_number": "732-598-7221",
            "fax_number": "917-398-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "LISA",
        "credential": "R.D., C.D.N, C.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "007038",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007038",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "007038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.