Individual provider Active NPI

Alexandra Todaro, RD CDE CDN

  • Registered Dietitian
  • Point Lookout, NY
National Provider Identifier
1932445145
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01650 Issued in NY
Practice address
33 Lido Blvd
Point Lookout, NY 11569-3021
Phone
(516) 263-0732
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 01650 NY Primary

Addresses

Primary practice location

33 Lido Blvd
Point Lookout, NY 11569-3021

Mailing address

PO Box 54
33 Lido Blvd.
Point Lookout, NY 11569-0054
Phone (516) 263-0732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208001586 NY Practitioner - Registered Dietitian Or Nutrition Professional 4385966050 Practice locations: Point Lookout, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005160NYMDMental Health Counselor
01650NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1932445145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "address_2": "33 LIDO BLVD.",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115690054",
            "telephone_number": "516-263-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LIDO BLVD",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693021",
            "telephone_number": "516-263-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "RD CDE CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "01650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Lookout, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.