Azadeh Ahmadi, MS, RD, CDN, CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

0004819 Issued in NY

Practice address

53 Passaic Ave
Passaic, NJ 07055-4801

Phone

(973) 745-4028

Fax

(973) 471-6481

NPI assigned

Nov 14, 2006

Last updated

Oct 22, 2012By 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 3

Addresses

Other names 1

• Miss Azi Ahmadi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1831261098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554801",
            "telephone_number": "973-745-4028",
            "fax_number": "973-471-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554801",
            "telephone_number": "973-745-4028",
            "fax_number": "973-471-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "AZADEH",
        "name_prefix": "Miss",
        "credential": "MS, RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "0004819",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "0004819",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "0004819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZI",
            "last_name": "AHMADI",
            "prefix": "MISS",
            "credential": "MS, RD, CDN, CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nutrition Education Nutritionist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Nutrition Education Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.