Active NPI
Sydnie Keller
- Registered Dietitian
- New York, NY
National Provider Identifier
1992510945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86373990
- Practice address
- 590 6TH Ave
New York, NY 10011-2022 - Phone
- (212) 633-9300
- NPI assigned
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 86373990 | NJ | Primary |
Addresses
Primary practice location
590 6TH Ave
New York, NY 10011-2022
Mailing address
166 Mountain Ave
Park Ridge, NJ 07656-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012561 | NY | MD | Chiropractor |
| 86373990 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York Foundling Hospital | Current | Accepting new patients | |
| New York Foundling | Current | Accepting new patients |
Locations
170 Brown Pl
Bronx, NY 10454
Phone (212) 206-7140
590 Ave of the Americas
Fl 10
New York, NY 10011
590 Avenue of the Americas
New York, NY 10011
Phone (646) 459-3401
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1992510945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MOUNTAIN AVE",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 6TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112022",
"telephone_number": "212-633-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "SYDNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86373990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.