Jeannie NG, MPH, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008190 Issued in NY

Practice address

2067 Steinway St Apt 2R
Astoria, NY 11105-1648

Phone

(864) 946-9264

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1386203909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 STEINWAY ST APT 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051648",
            "telephone_number": "864-946-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 STEINWAY ST APT 2R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051648",
            "telephone_number": "864-946-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "JEANNIE",
        "credential": "MPH, RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nextgen Billing Services LLC
• Julia Neyen, PHD
• Alisa Neziraj, RN
• Chester NG, OD
• Christine Joy NG, RPH
• Kathleen Kim Nguyen
• Van Anh Nguyen
• Ariel Niazov, PA
• Carmela Wanda Nicholas
• Alicia Nicholls, RPA

• Registered Dietitian in Astoria, NY
• Providers in Astoria, 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 Jun 7, 2019; 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.