Individual provider Active NPI

Ilanit Blumenfeld, RD, CDN, MPH

  • Registered Dietitian
  • White Plains, NY
National Provider Identifier
1982111035
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009006-1 Issued in NY
Practice address
7-11 S Broadway Ste 100
White Plains, NY 10601-3520
Phone
(914) 723-4900
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 009006-1 NY Primary

Addresses

Primary practice location

7-11 S Broadway Ste 100
White Plains, NY 10601-3520

Mailing address

3 Black Walnut Rd
Scarsdale, NY 10583-4572
Phone (646) 326-4658

Other practice location 1

3 Black Walnut Rd
Scarsdale, NY 10583-4572
Phone (646) 326-4658

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

State licenses

LicenseStateTypeSpecialty
009006-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982111035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLACK WALNUT RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834572",
            "telephone_number": "646-326-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7-11 S BROADWAY STE 100",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013520",
            "telephone_number": "914-723-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Black Walnut Rd",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105834572",
            "country_code": "US",
            "telephone_number": "646-326-4658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMENFELD",
        "first_name": "ILANIT",
        "name_prefix": "Mrs.",
        "credential": "RD, CDN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.