Active NPI
Marina Stauffer, Registered Dietitian, Certified Dietitian Nutritionis
- Registered Dietitian
- Northport, NY
National Provider Identifier
1467797100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007284-1
- Legal business name
- MARINA STAUFFER, REGISTERED DIETITIAN, CERTIFIED DIETITIAN NUTRITIONIS
- Practice address
- 694 Fort Salonga Rd
Northport, NY 11768-3147 - Phone
- (631) 374-6371
- NPI assigned
- Dec 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Stauffer, RD, CDN
- Title
- Owner
- Phone
- (631) 374-6371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007284-1 | NY | Primary |
Addresses
Primary practice location
694 Fort Salonga Rd
Northport, NY 11768-3147
Mailing address
44 Cherry LN
Huntington, NY 11743-2945
Phone (631) 374-6371
Other names 1
- Marina Stauffer, RD, CDN, PLLC
National Provider Directory
National Provider Directory- Tax ID family
- Ingredients for Health PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Huntington, NY
- NPI 1760872741
Locations
694 Fort Salonga Rd
Northport, NY 11768
Phone (631) 374-6371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Huntington, NY
- NPI 1366727687
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1467797100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CHERRY LN",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432945",
"telephone_number": "631-374-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 FORT SALONGA RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117683147",
"telephone_number": "631-374-6371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA STAUFFER, REGISTERED DIETITIAN, CERTIFIED DIETITIAN NUTRITIONIS",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "STAUFFER",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-374-6371",
"authorized_official_credential": "RD, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007284-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marina Stauffer, RD, CDN, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.