Active NPI
Jaimie Marisa Bornstein, MPH, RD, CDN
- Registered Dietitian
- Dix Hills, NY
National Provider Identifier
1992943229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 872924
- Practice address
- 6 Norman CT
Dix Hills, NY 11746-5812 - Phone
- (631) 424-4079
- NPI assigned
- Jan 23, 2009
- 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 | 872924 | NY | Primary |
Addresses
Primary practice location
6 Norman CT
Dix Hills, NY 11746-5812
Mailing address
6 Norman CT
Dix Hills, NY 11746-5812
Phone (917) 690-7945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872924 | Other | NY | CERTIFIED DIETITIAN NUTRITIONIST |
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 |
|---|---|---|---|
| 872924 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1992943229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NORMAN CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465812",
"telephone_number": "917-690-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 NORMAN CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465812",
"telephone_number": "631-424-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "JAIMIE",
"middle_name": "MARISA",
"name_prefix": "Mrs.",
"credential": "MPH, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "872924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIETITIAN NUTRITIONIST",
"identifier": "872924",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.