Cheryl Lea Robaczynski, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000662 Issued in CT

Practice address

111 Goose LN
Ynhh Shoreline Medical Center
Guilford, CT 06437-5101

Phone

(203) 453-7199

Fax

(203) 688-2141

NPI assigned

Apr 25, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124247325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHAPEL ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141645",
            "telephone_number": "203-378-8754",
            "fax_number": "203-378-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOOSE LN",
            "address_2": "YNHH SHORELINE MEDICAL CENTER",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064375101",
            "telephone_number": "203-453-7199",
            "fax_number": "203-688-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBACZYNSKI",
        "first_name": "CHERYL",
        "middle_name": "LEA",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIAL FOR RD",
            "identifier": "661901",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Restrepo-Powers, LMFT
• Frank Richard Richo, DDS
• Barry J Richter, MD, PC
• Carlos Enrique Riollano Bayouth, PHD, LPC
• Marco Alessandro Rizzo, M.D.
• Sheila McGowan Robbins, LCSW
• Denise Lewis Roberts, LCSW
• Walter Roberts, PHD
• Stacy Alex Robinson, PA-C
• Ana Rodriguez-Musterer, PA

• Registered Dietitian in Guilford, CT
• Providers in Guilford, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.