Active NPI
Alicia Lusardi, MS, RDN
- Registered Dietitian
- Fishkill, NY
National Provider Identifier
1417412008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 200 Westage Business Ctr Dr Ste 119
Fishkill, NY 12524-2271 - Phone
- (845) 896-0610
- NPI assigned
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
200 Westage Business Ctr Dr Ste 119
Fishkill, NY 12524-2271
Mailing address
156 Route 59 Ste A2
Suffern, NY 10901-5013
Phone (845) 517-2870
Other practice location 1
156 Route 59 Ste A2
Suffern, NY 10901-5013
Phone (845) 517-2870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
2435 Polk St
San Francisco, CA 94109-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 4
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": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1417412008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 ROUTE 59 STE A2",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015013",
"telephone_number": "845-517-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WESTAGE BUSINESS CTR DR STE 119",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242271",
"telephone_number": "845-896-0610"
}
],
"practiceLocations": [
{
"address_1": "156 Route 59 Ste A2",
"address_purpose": "LOCATION",
"city": "Suffern",
"state": "NY",
"postal_code": "109015013",
"country_code": "US",
"telephone_number": "845-517-2870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSARDI",
"first_name": "ALICIA",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.