Active NPI
Eleana Kaidanian, RD, CDN, CPT
- Registered Dietitian
- Great Neck, NY
National Provider Identifier
1659957330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007885
- Practice address
- 15 Tuddington Rd
Great Neck, NY 11023-1316 - Phone
- (516) 581-2217
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 007885 | NY | Primary |
Addresses
Primary practice location
15 Tuddington Rd
Great Neck, NY 11023-1316
Mailing address
15 Tuddington Rd
Great Neck, NY 11023-1316
Phone (516) 581-2217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Nutritionist PLLC | Dietitian, Registered | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1659957330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TUDDINGTON RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231316",
"telephone_number": "516-581-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 TUDDINGTON RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231316",
"telephone_number": "516-581-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIDANIAN",
"first_name": "ELEANA",
"credential": "RD, CDN, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.