Active NPIIndividual provider

Shideh Mofidi, MS, RD, CSP

Dietitian, Registered in Hawthorne, New York

NPI Number1235719212
Practice location
19 Bradhurst Ave Ste 2850S, Hawthorne, NY 10532-2140
Fax
—
Last updated
April 13, 2021

Shideh Mofidi is a Dietitian, Registered based in Hawthorne, NY. Shideh Mofidi practices in Hawthorne, NY and has the professional credentials of MS, RD, CSP. The NPI Number for Shideh Mofidi is 1235719212. The current practice location address for Shideh Mofidi is 19 Bradhurst Ave Ste 2850S, Hawthorne, NY 10532-2140 and can be reached out via phone at 914-304-5280.

Provider Profile Details

NPI Number
1235719212
Provider Name
Shideh Mofidi
Credential
MS, RD, CSP
Provider Entity Type
Individual
Gender
Female
Address
19 Bradhurst Ave Ste 2850S, Hawthorne, NY 10532-2140
Phone Number
914-304-5280
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
April 13, 2021
Last Update Date
April 13, 2021
Certification Date
April 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Bradhurst Ave Ste 2850S
Hawthorne, NY 10532-2140
Zip
10532-2140
Phone Number
914-304-5280
Hawthorne, NY 10532Get directions →

Provider Business Mailing Address Details

Address
77 Martling Ave
Pleasantville, NY 10570-3132
City
Pleasantville
State
NY
Zip
10570-3132

License Information

Taxonomy (3)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shideh Mofidi, MS, RD, CSP?

The NPI number of Shideh Mofidi, MS, RD, CSP is 1235719212. It was assigned on April 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Shideh Mofidi, MS, RD, CSP?

Shideh Mofidi, MS, RD, CSP is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Shideh Mofidi, MS, RD, CSP practice?

The practice location is 19 Bradhurst Ave Ste 2850S, Hawthorne, NY 10532-2140. The office can be reached at 914-304-5280 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235719212 directly on the NPPES registry website.

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