Active NPI
Therese M Gadomski, RD,CDE,CDN
- Registered Dietitian
- Albany, NY
National Provider Identifier
1467568873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005268
- Practice address
- 501 New Karner Rd
Suite 1a
Albany, NY 12205-3882 - Phone
- (518) 452-1337
- Fax
- (518) 724-6660
- NPI assigned
- Aug 21, 2006
- 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 | 005268 | NY | Primary |
Addresses
Primary practice location
501 New Karner Rd
Suite 1a
Albany, NY 12205-3882
Mailing address
501 New Karner Rd
Suite 1a
Albany, NY 12205-3882
Phone (518) 452-1337
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78189 | Other | NY | GHI/HMO |
| 10050420 | Other | NY | CDPHP |
| 000499470002 | Other | NY | BSNENY |
| 070125000023 | Other | NY | FIDELIS |
| 1G1011 | Other | NY | EMPIRE BLUE CROSS |
| 699492 | Other | NY | MVP HEALTHCARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Dietitian, Registered | Past | Accepting new patients |
| The Endocrine Group | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Albany, NY
- NPI 1811946775
Dietitian, Registered
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, NY
- NPI 1962464800
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1467568873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NEW KARNER RD",
"address_2": "SUITE 1A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053882",
"telephone_number": "518-452-1337",
"fax_number": "518-724-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NEW KARNER RD",
"address_2": "SUITE 1A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053882",
"telephone_number": "518-452-1337",
"fax_number": "518-724-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADOMSKI",
"first_name": "THERESE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RD,CDE,CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "78189",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10050420",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000499470002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070125000023",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "1G1011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "699492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.