Andrea R Eagan, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004934-01 Issued in NY

Practice address

17 Hanover Rd Ste 440
Florham Park, NJ 07932

Phone

(973) 520-5520

Fax

(212) 579-9581

NPI assigned

Apr 6, 2007

Last updated

Sep 11, 2026By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1750403895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HANOVER RD STE 440",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321409",
            "telephone_number": "973-520-5520",
            "fax_number": "212-579-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HANOVER RD STE 440",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-520-5520",
            "fax_number": "212-579-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W 72nd St",
            "address_2": "Suite 703",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100233235",
            "country_code": "US",
            "telephone_number": "212-579-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W 72nd St",
            "address_2": "Suite 703",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100233235",
            "country_code": "US",
            "telephone_number": "212-579-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004934-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2634767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3815250004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE MEDICAID",
            "identifier": "100216418401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2164184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.