Great Neck Dietitian, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GREAT NECK DIETITIAN, PLLC

Practice address

40 Warwick Rd
Great Neck, NY 11023-1662

Phone

(646) 406-6912

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Shadi Sahiholamal, RDNPI 1760939763

Title

Owner

Phone

(646) 406-6912

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shadi Sahiholamal, RD, CDN

  • Registered Dietitian
  • Great Neck, NY
  • NPI 1760939763

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1699575902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WARWICK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231662",
            "telephone_number": "646-406-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WARWICK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231662",
            "telephone_number": "646-406-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK DIETITIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "SAHIHOLAMAL",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-406-6912",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Neck Beauty Supply
• Great Neck Better Health Chiropractic, PC
• Great Neck Counseling, LCSW, PLLC
• Great Neck Dental PLLC
• Great Neck Dermatology, P.C.
• Great Neck Eye Care Corp
• Great Neck Hematology&Oncology.P.C.
• Great Neck Imaging
• Great Neck Medical Care, P.C.
• Great Neck Medical Group, LLP

• Registered Dietitian in Great Neck, NY
• Providers in Great Neck, 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 Apr 27, 2025; 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.