Individual provider Active NPI

Jill M. Senderoff, MA, RD, CDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1861609984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
160 West End Ave
Apt.#15E
New York, NY 10023-5601
Phone
(212) 769-0295
Fax
(212) 769-0295
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

160 West End Ave
Apt.#15E
New York, NY 10023-5601

Mailing address

160 W End Ave
Apt.#15E
New York, NY 10023-5601
Phone (212) 769-0295

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861609984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W END AVE",
            "address_2": "APT.#15E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235601",
            "telephone_number": "212-769-0295",
            "fax_number": "212-769-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST END AVE",
            "address_2": "APT.#15E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235601",
            "telephone_number": "212-769-0295",
            "fax_number": "212-769-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDEROFF",
        "first_name": "JILL",
        "middle_name": "M.",
        "credential": "MA, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.