Active NPI
Andrea Joy Schaeffer, RD, CDN
- Registered Dietitian
- Astoria, NY
National Provider Identifier
1316005507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000208-1
- Practice address
- 2322 30TH Ave
2ND Floor
Astoria, NY 11102-3255 - Phone
- (718) 956-7988
- NPI assigned
- Dec 4, 2006
- 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 | 000208-1 | NY | Primary |
Addresses
Primary practice location
2322 30TH Ave
2ND Floor
Astoria, NY 11102-3255
Mailing address
45 Vista Hill Rd
Great Neck, NY 11021-1526
Phone (516) 375-9029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116288 | Other | NY | VYTRA |
| 2456408 | Other | NY | UNITED HEALTHCARE |
| 8099779 | Other | NY | GHI |
| P2694450 | Other | NY | OXFORD HEALTH CARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000208 | NY | MD | Marriage & Family Therapist |
| 000208-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316005507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 VISTA HILL RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211526",
"telephone_number": "516-375-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 30TH AVE",
"address_2": "2ND FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023255",
"telephone_number": "718-956-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "ANDREA",
"middle_name": "JOY",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000208-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "2116288",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2456408",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8099779",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH CARE",
"identifier": "P2694450",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- 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.