Individual provider Active NPI

Dina Krigsman, RD

  • Registered Dietitian
  • Far Rockaway, NY
National Provider Identifier
1972309342
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
011644 Issued in NY
Practice address
715 Bolton Rd
Far Rockaway, NY 11691-4813
Phone
(516) 582-5590
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 011644 NY Primary

Addresses

Primary practice location

715 Bolton Rd
Far Rockaway, NY 11691-4813

Mailing address

715 Bolton Rd
Far Rockaway, NY 11691-4813
Phone (516) 582-5590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107002159 NY Practitioner - Registered Dietitian Or Nutrition Professional 9335625607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

705 Caffrey Ave
Far Rockaway, NY 11691-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011644NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azriel Hirschfeld MD PLLC CurrentSince Dec 3, 2025 Accepting new patients
Boro Park Nutrition, LLC PastSince Mar 11, 2025 Accepting new patients

Locations

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

16 Sumner Pl
Fl 4
Brooklyn, NY 11206
Phone (212) 235-5181

Networks

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

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1972309342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BOLTON RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914813",
            "telephone_number": "516-582-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BOLTON RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914813",
            "telephone_number": "516-582-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGSMAN",
        "first_name": "DINA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.