Organization Active NPI

Eating Disorder Treatment Collaborative/Feed

  • Registered Dietitian
  • Jericho, NY
National Provider Identifier
1437563400
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EATING DISORDER TREATMENT COLLABORATIVE/FEED
Practice address
366 N Broadway
Suite PHW-1
Jericho, NY 11753-2025
Phone
(516) 513-1284
Fax
(516) 513-1285
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Sondra Kronberg, MS,RD, CEDRDNPI 1538299243
Title
Director, Owner
Phone
(516) 513-1284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

366 N Broadway
Suite PHW-1
Jericho, NY 11753-2025

Mailing address

366 N Broadway
Suite PHW-1
Jericho, NY 11753-2025
Phone (516) 513-1284

National Provider Directory

National Provider Directory

Locations

366 N Broadway
Ste PHW1
Jericho, NY 11753
Phone (516) 513-1284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1437563400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "address_2": "SUITE PHW-1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "516-513-1284",
            "fax_number": "516-513-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "address_2": "SUITE PHW-1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "516-513-1284",
            "fax_number": "516-513-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER TREATMENT COLLABORATIVE/FEED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "KRONBERG",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "DIRECTOR, OWNER",
        "authorized_official_telephone_number": "516-513-1284",
        "authorized_official_credential": "MS,RD, CEDRD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.