Stewart Gould Coddington, RN, MS, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

526929 Issued in NY

Practice address

One Overlook Avenue
Suite 1-0
Great Neck, NY 11021-3750

Phone

(516) 902-3393

Fax

(516) 498-9688

NPI assigned

Feb 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1073751756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE OVERLOOK AVENUE",
            "address_2": "SUITE 1-0",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213750",
            "telephone_number": "516-902-3393",
            "fax_number": "516-498-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE OVERLOOK AVENUE",
            "address_2": "SUITE 1-0",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213750",
            "telephone_number": "516-902-3393",
            "fax_number": "516-498-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "STEWART",
        "middle_name": "GOULD",
        "name_prefix": "Mr.",
        "credential": "RN, MS, CDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "526929",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "526929",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "526929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Kyong Ju Clar, M.D.
• Clarivex Healthcare Billing LLC
• Tiffany Clarke, PT
• Jessica Lynn Clough, OTR/L
• Clover Chiropractic PC
• Thomas Edward Coghlan, PSYD
• Cognitive Behavioral Associates, LLP
• Sybil Pader Cohen Glazer, RD CDN MS MA
• Adam Cohen, M.D.
• Alexa Cohen

• Diabetes Educator Registered Nurse in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.