Active NPI
Debra L. Saum, MS,RD,CDN
- Registered Dietitian
- East Northport, NY
National Provider Identifier
1801923693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000768-1
- Practice address
- 429 2ND Ave
East Northport, NY 11731-3403 - Phone
- (631) 368-2355
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 000768-1 | NY | Primary |
Addresses
Primary practice location
429 2ND Ave
East Northport, NY 11731-3403
Mailing address
429 2ND Ave
East Northport, NY 11731-3403
Phone (631) 873-5569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000768-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1801923693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 2ND AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313403",
"telephone_number": "631-873-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 2ND AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313403",
"telephone_number": "631-368-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUM",
"first_name": "DEBRA",
"middle_name": "L.",
"credential": "MS,RD,CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000768-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.