Individual provider Active NPI

Samantha Megan Podob, MS, RD

  • Registered Dietitian
  • Ardsley, NY
National Provider Identifier
1033617352
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86000726 Issued in NY
Practice address
110 Hilltop Rd
Ardsley, NY 10502-1612
Phone
(914) 837-2167
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86000726 NY Primary

Addresses

Primary practice location

110 Hilltop Rd
Ardsley, NY 10502-1612

Mailing address

110 Hilltop Rd
Ardsley, NY 10502-1612
Phone (914) 837-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86000726NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Podob Nutrition PLLC Dietitian, Registered CurrentSince Mar 31, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1033617352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLTOP RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021612",
            "telephone_number": "914-837-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLTOP RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021612",
            "telephone_number": "914-837-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOB",
        "first_name": "SAMANTHA",
        "middle_name": "MEGAN",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86000726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.