Active NPI
Irene M. Nicolaides, M.S., R.D. C.D.N.
- Registered Dietitian
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005735-1
- Practice address
- 2318 31St St
Suite 320
Astoria, NY 11105-2892 - Phone
- (718) 728-9822
- Fax
- (718) 728-2004
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- 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 | 005735-1 | NY | Primary |
Addresses
Primary practice location
2318 31St St
Suite 320
Astoria, NY 11105-2892
Mailing address
2318 31St St
Suite 320
Astoria, NY 11105-2892
Phone (718) 728-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23
31St 2ND FL
Astoria, NY 11105-2808
23 17
Astoria, NY 11105-2808
2317 31St St
Astoria, NY 11105-2808
Phone (516) 499-7090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005735-1 | NY | MD | Registered Dietitian |
| 005735 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irene M. Nicolaides Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
2317 31st St
Astoria, NY 11105
Phone (516) 499-7090
2318 31st St
Ste 320
Astoria, NY 11105
Phone (718) 635-3222
2317 31st St
Fl 2
Astoria, NY 11105
Phone (516) 499-7090
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932174174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 31ST ST",
"address_2": "SUITE 320",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052892",
"telephone_number": "718-728-9822",
"fax_number": "718-728-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 31ST ST",
"address_2": "SUITE 320",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052892",
"telephone_number": "718-728-9822",
"fax_number": "718-728-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAIDES",
"first_name": "IRENE",
"middle_name": "M.",
"name_prefix": "Miss",
"credential": "M.S., R.D. C.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005735-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, 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.
- 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.