Physician Affiliate Group of New York PC
NPI 1013375526ActiveOrganization· Dietitian, Registered· New York, NY
Dietitian, Registered in New York, New York, registered in NPPES in January 2016. The authorized official on file is Michael H. Lewensohn, Medical Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013375526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2016 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 001002 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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