Healthcare Provider Details
I. General information
NPI: 1134918923
Provider Name (Legal Business Name): MERVE CIRAY RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 WEST ST # 4016
BROOKLYN NY
11222-2093
US
IV. Provider business mailing address
67 WEST ST # 4016
BROOKLYN NY
11222-2093
US
V. Phone/Fax
- Phone: 917-331-5222
- Fax:
- Phone: 917-331-5222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 132700000X |
| Taxonomy | Dietary Manager |
| License Number | 011194-01 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | 011194-01 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | 011194-01 |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1004X |
| Taxonomy | Pediatric Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1005X |
| Taxonomy | Renal Nutrition Registered Dietitian |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1006X |
| Taxonomy | Metabolic Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1101X |
| Taxonomy | Gerontological Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1201X |
| Taxonomy | Obesity and Weight Management Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1501X |
| Taxonomy | Sports Dietetics Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1301X |
| Taxonomy | Oncology Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1401X |
| Taxonomy | Pediatric Critical Care Nutrition Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
| # 12 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | 011194-01 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
