Active NPI
Susan McDonald, RDN
- Registered Dietitian
- Dix Hills, NY
National Provider Identifier
1437984648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 803331
- Practice address
- 197 Half Hollow Rd
Dix Hills, NY 11746-5859 - Phone
- (631) 370-1731
- NPI assigned
- Sep 6, 2024
- 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 | 803331 | NY | Primary |
Addresses
Primary practice location
197 Half Hollow Rd
Dix Hills, NY 11746-5859
Mailing address
14 Orchid LN
Commack, NY 11725-3709
Phone (917) 693-9480
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001247 | NY | MD | Psychoanalyst |
| 803331 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1437984648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ORCHID LN",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253709",
"telephone_number": "917-693-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465859",
"telephone_number": "631-370-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "SUSAN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "803331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.