Alexandra Salazar, MS, RD, CDE, CDN

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

929090 Issued in NY

Practice address

47 Beechwood Dr
Manorville, NY 11949-2959

Phone

(917) 656-0242

NPI assigned

Jan 13, 2010

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1053641035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BEECHWOOD DR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492959",
            "telephone_number": "917-656-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BEECHWOOD DR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492959",
            "telephone_number": "917-656-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDE, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "929090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Ruggiero, PH.D.
• Dawn Michelle Russo-Sperandio, TEACHER
• Carmen Ruvola
• Peter J Saccone, D.C
• Daniel M Salaway, MS, MT-BC, LCAT
• Melissa Sander
• Elizabeth Ann Sanders, PA-C
• Megan Santanello, SLP
• Edwin Santiago
• Maureen Sarmiento

• Metabolic Nutrition Registered Dietitian in Manorville, NY
• Providers in Manorville, 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 May 16, 2014; 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.