Simnutrition Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1096652 Issued in NY

Legal business name

SIMNUTRITION INC.

Practice address

34 Rowan St
Smithtown, NY 11787-1057

Phone

(631) 406-7768

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Stefania Medvedik, RD, RN, CDENPI 1215428818

Title

Owner

Phone

(646) 320-3244

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefania Medvedik, RD, RN, CDE

  • Registered Dietitian
  • Smithtown, NY
  • NPI 1215428818

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1033609458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROWAN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871057",
            "telephone_number": "631-406-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ROWAN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871057",
            "telephone_number": "631-406-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMNUTRITION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "MEDVEDIK",
        "authorized_official_first_name": "STEFANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-320-3244",
        "authorized_official_credential": "RD, RN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1096652",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6000881",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "21510265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizette Sikhrangkur, DNP, WHNP
• Kailee Silverman, PT, DPT
• Emily Simeone
• Amira Simha-Alpern, PH.D.
• Savannah Simitian
• Mariah Simone
• Simply Innovative Behavior Analysis PLLC
• Murene Simpson
• Diane Dorothy-Rose Sincinito
• Navpreet Singh, FNP

• Registered Dietitian in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.