Individual provider Active NPI

Jennifer Noelle Andrus, MS, RD, CDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1427107374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005250-1 Issued in NY
Practice address
51 E 42ND St
Suite 621
New York, NY 10017-5404
Phone
(212) 541-7111
Fax
(646) 417-7227
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 005250-1 NY Primary

Addresses

Primary practice location

51 E 42ND St
Suite 621
New York, NY 10017-5404

Mailing address

51 E 42ND St
Suite 621
New York, NY 10017-5404
Phone (212) 541-7111

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005250-1NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427107374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST",
            "address_2": "SUITE 621",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-541-7111",
            "fax_number": "646-417-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST",
            "address_2": "SUITE 621",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-541-7111",
            "fax_number": "646-417-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "JENNIFER",
        "middle_name": "NOELLE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005250-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.

Verify at the official NPI Registry.