Individual provider Active NPI

Andrea Cesarek, RD

  • Registered Dietitian
  • Honolulu, HI
National Provider Identifier
1881422699
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
434-LD Issued in HI
Practice address
200 N Vineyard Blvd Ste A325
Honolulu, HI 96817-3950
Phone
(808) 371-4523
NPI assigned
Jul 23, 2024
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 434-LD HI Primary

Addresses

Primary practice location

200 N Vineyard Blvd Ste A325
Honolulu, HI 96817-3950

Mailing address

1930 9TH Ave Apt C
Honolulu, HI 96816-2970
Phone (808) 732-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210001728 HI Practitioner - Registered Dietitian Or Nutrition Professional 4789110040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Honolulu, HI 96813-2496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
434-LDHIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physician Enterprise LLC CurrentSince Nov 1, 2024 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Blessin Health LLC Dietitian, Registered CurrentSince Jun 23, 2025 Accepting new patients
The Queen's Medical Center Current Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Queens University Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
John J Cogan MD Inc Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

1215 Hunakai St
Honolulu, HI 96816
Phone (808) 686-4200

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 300
Honolulu, HI 96813
Phone (808) 691-4202

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

200 N Vineyard Blvd
Ste A325
Honolulu, HI 96817
Phone (808) 392-4813

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1881422699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162970",
            "telephone_number": "808-732-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE A325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-371-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESAREK",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "434-LD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.