Active NPI
Carrie B Kipnis
- Registered Dietitian
- Woodcliff Lake, NJ
National Provider Identifier
1982087938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1015390
- Practice address
- 4 Allen Dr
Woodcliff Lake, NJ 07677-8207 - Phone
- (914) 907-3407
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- 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 | 1015390 | NJ | Primary |
Addresses
Primary practice location
4 Allen Dr
Woodcliff Lake, NJ 07677-8207
Mailing address
4 Allen Dr
Woodcliff Lake, NJ 07677-8207
Phone (914) 907-3407
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015390 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1982087938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ALLEN DR",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778207",
"telephone_number": "914-907-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ALLEN DR",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778207",
"telephone_number": "914-907-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPNIS",
"first_name": "CARRIE",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1015390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.