Individual provider Active NPI

Maria Varthis, MS, RD, CSO, CDN

  • Registered Dietitian
  • Syosset, NY
National Provider Identifier
1962766592
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
992912 Issued in NY
Practice address
237 Jericho Tpke
Syosset, NY 11791-4513
Phone
(516) 584-6400
Fax
(516) 584-6401
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 007116 NY
Registered Dietitian 133V00000X 992912 NY Primary

Addresses

Primary practice location

237 Jericho Tpke
Syosset, NY 11791-4513

Mailing address

10 Woodbury CT
Hicksville, NY 11801-3159
Phone (516) 937-9194

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 Science

State licenses

LicenseStateTypeSpecialty
007116NYMDNutritionist
992912NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1962766592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODBURY CT",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013159",
            "telephone_number": "516-937-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914513",
            "telephone_number": "516-584-6400",
            "fax_number": "516-584-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTHIS",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CSO, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "007116",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "992912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.