SDC Nutrition, PC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006034 Issued in NY

Legal business name

SDC NUTRITION, PC

Practice address

405 RXR PLZ
Uniondale, NY 11556-3811

Phone

(800) 741-6638

Fax

(866) 610-7443

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Stephen Della Croce, MS, RD, CDNNPI 1942511183

Title

President

Phone

(917) 975-7946

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Della Croce, MS, RD, CDN

  • Registered Dietitian
  • Uniondale, NY
  • NPI 1942511183

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Pui Yan Chiu, RD

  • Nutritionist
  • New York, NY
  • NPI 1942232509

  NJ

  Medicare reassignment Care Compare group NPD
• Meredith Tracy Radisch, MS, RDN, CDN

  • Registered Dietitian
  • Old Bethpage, NY
  • NPI 1881262624

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Nadia Hussain, MS, RD, CPT

  • Registered Dietitian
  • Valley Stream, NY
  • NPI 1114378718

  Dietitian, Registered

  Medicare reassignment NPD
• Linda Vespoli-Matthews, RD

  • Registered Dietitian
  • Huntington Station, NY
  • NPI 1780530568
  Medicare reassignment
• Thomas Daniel Helm

  • Registered Dietitian
  • East Elmhurst, NY
  • NPI 1659781417

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1265732580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LAKEVIEW RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115563811",
            "telephone_number": "800-741-6638",
            "fax_number": "866-610-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ridgedale Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321764",
            "country_code": "US",
            "telephone_number": "800-741-6638",
            "fax_number": "866-610-7443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Waipaa Ln Apt 202",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932099",
            "country_code": "US",
            "telephone_number": "800-741-6638",
            "fax_number": "866-610-7443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Lakeview Rd",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117104209",
            "country_code": "US",
            "telephone_number": "917-975-7946",
            "fax_number": "866-610-7443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SDC NUTRITION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DELLA CROCE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-975-7946",
        "authorized_official_credential": "MS, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PACID",
            "identifier": "9739196296",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318993601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Wilhelm Schlosshauer, MD
• Stacey Schreiber, ATC
• Myrlene Scott, MS
• Nelsa Scott
• Mariella Francesca Scozzari, PHARM. D.
• Cherryann Sealey, MSED.
• Gloria Seydi
• Hiral Shah, PHARMD
• Shiny Sharma, BCBA
• Osmond H Sheppard, LCSW

• Registered Dietitian in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.