Active NPI
Andrew Michael Yandoli, REGISTERED DIETITIAN
- Registered Dietitian
- Hauppauge, NY
National Provider Identifier
1851001986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1033897
- Practice address
- 2 Holiday Park Dr
Hauppauge, NY 11788-2111 - Phone
- (516) 662-2530
- NPI assigned
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 1033897 | NY | Primary |
Addresses
Primary practice location
2 Holiday Park Dr
Hauppauge, NY 11788-2111
Mailing address
2 Holiday Park Dr
Hauppauge, NY 11788-2111
Phone (516) 662-2530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033897 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1851001986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOLIDAY PARK DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882111",
"telephone_number": "516-662-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HOLIDAY PARK DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882111",
"telephone_number": "516-662-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANDOLI",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1033897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.