Karen Picinich, R.D. CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006198-1 Issued in NY

Practice address

1285 Montauk Hwy
Copiague, NY 11726-4936

Phone

(631) 767-3410

NPI assigned

Apr 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1417376443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GATES AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574739",
            "telephone_number": "631-767-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264936",
            "telephone_number": "631-767-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICINICH",
        "first_name": "KAREN",
        "credential": "R.D. CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006198-1",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "006198-1",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "006198-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Antonia Pavlides
• Micheale Payne, LCSW
• Lonnie Lee Pedicini, LPN
• Tina Maria Pedus, LMSW
• Karen Margaret Phillips
• Katelyn Piegare
• Guilaine C Pierre-Paul, OTA/L
• Helen Marie Plume-Boeke, RN
• Cailan Elizabeth Polishook, M.S.
• Thomas Polizzi, OPTICIAN

• Registered Dietitian in Copiague, NY
• Providers in Copiague, 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 Apr 7, 2014; 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.