Active NPI
Yandra Marisol Doering, RDN, CDN
- Registered Dietitian
- Forest Hills, NY
National Provider Identifier
1952079329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211 - Phone
- (929) 307-0050
- NPI assigned
- Sep 1, 2021
- Last updated
- Jul 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | ||
| Registered Dietitian | 133V00000X | NY | Primary |
Addresses
Primary practice location
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Mailing address
904 Union St Apt 1B
Brooklyn, NY 11215-1664
Phone (646) 918-0032
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naz Maduro Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1952079329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 UNION ST APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151664",
"telephone_number": "646-918-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 400",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757211",
"telephone_number": "929-307-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERING",
"first_name": "YANDRA",
"middle_name": "MARISOL",
"credential": "RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.