Active NPI
Marianna Dayre, RD
- Registered Dietitian
- Centereach, NY
National Provider Identifier
1699263673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0080541
- Practice address
- 23 S Howell Ave Ste D
Centereach, NY 11720-4445 - Phone
- (631) 638-3968
- Fax
- (631) 638-1227
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 2018
- 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 | 0080541 | NY | Primary |
Addresses
Primary practice location
23 S Howell Ave Ste D
Centereach, NY 11720-4445
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 638-3968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016000572 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 6608128913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0080541 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- marianna.dayre@168064768409604.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1699263673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1554",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900988",
"telephone_number": "631-638-3968",
"fax_number": "631-638-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 S HOWELL AVE STE D",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117204445",
"telephone_number": "631-638-3968",
"fax_number": "631-638-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYRE",
"first_name": "MARIANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "0080541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.