Individual provider Active NPI

Alexandra Unruh, RD

  • Registered Dietitian
  • Hampton Bays, NY
National Provider Identifier
1669177218
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
011375-01 Issued in NY
Practice address
184 W Montauk Hwy BLDG C
Hampton Bays, NY 11946-2304
Phone
(631) 723-4211
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 011375-01 NY Primary

Addresses

Primary practice location

184 W Montauk Hwy BLDG C
Hampton Bays, NY 11946-2304

Mailing address

184 W Montauk Hwy BLDG C
Hampton Bays, NY 11946-2304
Phone (631) 723-4211

Other practice location 1

240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 723-4211

Other names 1

  • Alexandra Coacci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724000330 NY Practitioner - Registered Dietitian Or Nutrition Professional 5597125591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011375-01NYMDRegistered Dietitian
011375NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jun 13, 2023 Accepting new patients

Locations

184 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 283-2100

184 W Montauk Hwy
Bldg C
Hampton Bays, NY 11946
Phone (631) 514-2724

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1669177218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 W MONTAUK HWY BLDG C",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462304",
            "telephone_number": "631-723-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 W MONTAUK HWY BLDG C",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462304",
            "telephone_number": "631-723-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Meeting House Ln",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119685009",
            "country_code": "US",
            "telephone_number": "631-723-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "ALEXANDRA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011375-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "COACCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.

Verify at the official NPI Registry.