Active NPI
Jill Schaeffer, RD
- Registered Dietitian
- Astoria, NY
National Provider Identifier
1386768216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005414-1
- Practice address
- 2322 30TH Ave
Suite B
Astoria, NY 11102-3255 - Phone
- (718) 267-2763
- Fax
- (718) 267-2936
- NPI assigned
- Mar 17, 2007
- 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 | 005414-1 | NY | Primary |
Addresses
Primary practice location
2322 30TH Ave
Suite B
Astoria, NY 11102-3255
Mailing address
11250 78TH Ave
#1-O
Forest Hills, NY 11375-7109
Phone (718) 263-9555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2738994 | Other | NY | OXFORD NUTRITIONIST NUMBE |
| P2754170 | Other | NY | OXFORD DIETITIAN NUMBER |
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 |
|---|---|---|---|
| 005414-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386768216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11250 78TH AVE",
"address_2": "#1-O",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757109",
"telephone_number": "718-263-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 30TH AVE",
"address_2": "SUITE B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023255",
"telephone_number": "718-267-2763",
"fax_number": "718-267-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "JILL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005414-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD NUTRITIONIST NUMBE",
"identifier": "P2738994",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD DIETITIAN NUMBER",
"identifier": "P2754170",
"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.