Christopher J Fideli

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

003006 Issued in NY

Practice address

2 Shadetree LN
Stony Brook, NY 11790-3115

Phone

(516) 818-4435

NPI assigned

Jan 25, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1023295649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHADETREE LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903115",
            "telephone_number": "516-818-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHADETREE LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903115",
            "telephone_number": "516-818-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDELI",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "003006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Ferraro, PAC
• John Ferretti, MD
• Michael James Ferrigno, MD
• Jeremy Fertel, MD
• Kenza Fertitta
• Jessica Fierman, D.D.S.
• Allegra Lee Fierro, M.D.
• Tekene Figueira
• Alexander Filatov, M.D.
• Nadine Fils-Aime

• Metabolic Nutrition Registered Dietitian in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.