Irene M. Nicolaides Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005735.1 Issued in NY

Legal business name

IRENE M. NICOLAIDES INC.

Practice address

4616 Belmont Road
Great Neck, NY 11020

Phone

(516) 499-7090

Fax

(516) 499-7009

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Irene M Nicolaides, R.D.NPI 1932174174

Title

Registered Dietitian

Phone

(516) 499-7090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Irene M. Nicolaides, M.S., R.D. C.D.N.

  • Registered Dietitian
  • Astoria, NY
  • NPI 1932174174

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1750718201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 31ST STREET",
            "address_2": "SUITE 320",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "516-499-7090",
            "fax_number": "516-799-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 BELMONT ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020",
            "telephone_number": "516-499-7090",
            "fax_number": "516-499-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE M. NICOLAIDES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "NICOLAIDES",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "516-499-7090",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005735.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Anesthesia Solutions, P.C.
• Mia Rose Inserra, PSYD
• Integrated Triborough Medical, PLLC
• Yakov Iofel, MD
• Syed Hasan Iqbal, DO
• Irina Belfer-Lehat Registered Dietitian, Nutrition Solutions PC
• Deborah Ishaal, PA
• Elisheva Ismach, LMSW
• Howard A. Israel, D.D.S.
• Michele Carol Israel, CSW

• 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 Sep 30, 2013; 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.