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DR. KEITH THOMAS AYOOB ED.D., R.D., C.D.N.
NPI 1801948641
Dietitian, Registered in Bronx, NY

Active since January 18, 2007
1165 MORRIS PARK AVE, ROOM 438, BRONX, NY 10461(718) 430-3970(718) 823-4877 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keith Thomas Ayoob Ed.d., R.d., C.d.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH THOMAS AYOOB ED.D., R.D., C.D.N. (NPI 1801948641) is an individual dietitian, registered in Bronx, New York, licensed in New York (002276-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1801948641
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameDR. KEITH THOMAS AYOOBCredential: ED.D., R.D., C.D.N.
Location Address1165 MORRIS PARK AVE, ROOM 438Bronx, NY 10461-1915
Mailing Address212 E 47th St, 18fNew York, NY 10017-2128 · (718) 430-3970 · Fax (718) 823-4877
Phone(718) 430-3970
Fax(718) 823-4877
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateNovember 19, 2014
✔ NPI 1801948641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 002276-1
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1165 MORRIS PARK AVE, Bronx, NY 10461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Thomas Ayoob Ed.d., R.d., C.d.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Keith Ayoob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
2.5 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL S. GILL M.A., LMHC
Counselor (Mental Health)
1165 MORRIS PARK AVE, ROUSSO-119
BRONX, NY 10461
Bronx County (718) 430-3942
DR. SHAUNE KELLY BORNHOLDT PH.D.
Psychologist
1165 MORRIS PARK AVE
BRONX, NY 10461
Bronx County (718) 430-3900
JONATHAN THOMAS LEHN JR. PA-C
Physician Assistant (Surgical)
1165 MORRIS PARK AVE
BRONX, NY 10461
Bronx County (212) 960-5400
MS. JENNIFER GAYLE TOPF M.S.
Speech-Language Pathologist
1165 MORRIS PARK AVE
BRONX, NY 10461
Bronx County (718) 430-8600
ALLISON BRUDNER
Speech-Language Pathologist
1165 MORRIS PARK AVE
BRONX, NY 10461
Bronx County (718) 430-8600
CHILDREN'S EVALUATION AND REHABILITATION CENTER - DFSU
Rehabilitation Unit
1165 MORRIS PARK AVE, 4TH FLOOR
BRONX, NY 10461
Bronx County (718) 430-3970
LEON KIRSCHNER OTR
Occupational Therapist (Pediatrics)
1165 MORRIS PARK AVE
BRONX, NY 10461
Bronx County (718) 430-6800
NOOR AL RADI M.S. CCC-SLP
Speech-Language Pathologist
1165 MORRIS PARK AVE, ROUSSO ANNEX
BRONX, NY 10461
Bronx County (718) 430-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Ayoob's NPI number?

The NPI number for Keith Ayoob is 1801948641. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Keith Ayoob located?

Keith Ayoob practices at 1165 Morris Park Ave Room 438, Bronx, NY 10461. The listed phone number is (718) 430-3970.

What is Keith Ayoob's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Keith Ayoob enrolled in Medicare?

Yes. Keith Ayoob is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Ayoob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Ayoob reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Ayoob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Ayoob was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.