Sirida Subudom, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1000 10TH Ave RM 2B-05
New York, NY 10019-1147

Phone

(212) 523-6733

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1669003232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GROVE ST APT 9P",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101273",
            "telephone_number": "845-300-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE RM 2B-05",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBUDOM",
        "first_name": "SIRIDA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pritha Subramanyam
• Anupama Subramony, MD
• Shama Subramony
• Benjamin J Subtelny, DDS
• Ipsita Subudhi
• Kirra Sucato, MSW
• Karina Rose Succar, M.S CF - SLP, TSSLD
• Sarita Suchdev, FNP
• Erica Sucher, MSW
• Evelyn Sucher, RN, CNM

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.