Active NPI
Samantha Radin, RD, CD-N
- Registered Dietitian
- Hamden, CT
National Provider Identifier
1053711200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1032
- Practice address
- 2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691 - Phone
- (203) 407-2500
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1032 | CT | Primary |
Addresses
Primary practice location
2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
Mailing address
2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Dietitian, Registered | Past | 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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1053711200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 180",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 180",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-407-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADIN",
"first_name": "SAMANTHA",
"credential": "RD, CD-N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.