Active NPI
Laura Stadler, M.S., R.D.
- Registered Dietitian
- New York, NY
National Provider Identifier
1174851125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00965744
- Practice address
- 16 W 23Rd St
New York, NY 10010-5207 - Phone
- (718) 490-0136
- NPI assigned
- Dec 3, 2009
- Last updated
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 00965744 | NY | Primary |
Addresses
Primary practice location
16 W 23Rd St
New York, NY 10010-5207
Mailing address
346 Lincoln Rd
Brooklyn, NY 11225-4117
Phone (718) 490-0136
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00965744 | NY | MD | Registered Dietitian |
| 007148 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exclusive Care Medical PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1790849271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1174851125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 LINCOLN RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254117",
"telephone_number": "718-490-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W 23RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105207",
"telephone_number": "718-490-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADLER",
"first_name": "LAURA",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "00965744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.