John J Sweeney, R.D. , C.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

721012 Issued in IL

Practice address

930 Jasmine LN
Southold, NY 11971-3071

Phone

(631) 765-1267

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1356580021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 JASMINE LN",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119713071",
            "telephone_number": "631-765-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 JASMINE LN",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119713071",
            "telephone_number": "631-765-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.D.  ,  C.D.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "001098-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "721012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "9256E1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Spatafora, L.AC
• Speech, Language & Swallowing Consultants P.C.
• Steven J.N. Chierchie, D.C., P.C.
• Amy Storch, LCSW
• SVC of Southold LLC (Sound Vision Care)
• Steven Templeton, PHYSICIAN ASSISTANT
• Iana Tezyk
• Virginia Thompson, CSW
• David Tsoumpelis, OTR
• Kira Robin Verity, PTA

• Registered Dietitian in Southold, NY
• Providers in Southold, 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 Feb 19, 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.