TELADIETITIAN (NPI# 1265971261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265971261 |
| Entity Type | Organization |
| Organization Name | TELADIETITIAN |
| Other Organization Name | NUTRIFY |
| Practice Address |
471 North Broadway, 363 Jericho NY 11753 |
| Mailing Address |
471 N Broadway # 363 Jericho NY 11753-2106 |
| Practice Telephone | 9175353626 |
| Mailing Telephone | 9175353626 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | JACQUELINE ARNETT (CEO) |
| Authorized Official Telephone | 9175353626 |
| Authorized Official Credential | RD, ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Nutrify | Former Legal Business Name - Organization |
| Street Address |
471 NORTH BROADWAY, 363 |
| City | JERICHO |
| State | NY |
| Zip Code | 11753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| 1154689032 | Pooja Pratik Mehta | Physical Therapist | 33 South Service Road, Room 109, Jericho, NY 11753 | 2012-04-27 |
| Find all providers in zip 11753 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707256 | Mandy Li | Dietitian, Registered | 68 Elmtree Ln, Jericho, NY 11753-2645 | 2020-07-22 |
| 1215377197 | Sharon R Scafidi | Dietitian, Registered | 87 Birchwood Park Dr, Jericho, NY 11753-2258 | 2013-06-25 |
| 1215153200 | Vivian Delman | Dietitian, Registered | 71 Birchwood Park Dr, Jericho, NY 11753-2238 | 2007-04-18 |
| 1346371028 | Nancy B Fitzgerald | Dietitian, Registered | 17 Old Pump Rd, Jericho, VT 05465-2000 | 2007-03-07 |
| 1538299243 | Sondra Kronberg | Dietitian, Registered | 366 N Broadway, Ste Phw-1, Jericho, NY 11753-2025 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.