MS. MADELEINE GLICK (NPI# 1730259391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730259391 |
| Entity Type | Individual |
| Full Name | MS. MADELEINE GLICK |
| Credential | MS, RD, CDN |
| Practice Address |
71 Loomis Rd Chatham NY 12037-9777 |
| Practice Telephone | 5189652074 |
| Mailing Telephone | 5189652074 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 000515-1 | NY | Dietary & Nutritional Service Providers |
| Street Address |
71 LOOMIS RD |
| City | CHATHAM |
| State | NY |
| Zip Code | 12037-9777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740666585 | Jillian Leigh Faxon | Pharmacist | 15 Coleman Street, Chatham, NY 12037 | 2015-08-04 |
| 1962899401 | Cindy C Dodge | Physical Therapist | 5 Roxbury Rd., Chatham Physical Therapy, Chatham, NY 12037 | 2015-04-22 |
| 1194946681 | Timothy John Mullen | Mechanotherapist | 25 Kinderhook Street, Chatham, NY 12037 | 2007-05-01 |
| 1285776690 | Colin H Heeps | Dentist | 1 Houseman Avenue, Chatham, NY 12037 | 2007-02-13 |
| 1871631705 | Yasamin Larizadeh | Social Worker | 607 State Route 295, Suite 7, Chatham, NY 12037 | 2007-02-02 |
| 1225079122 | Amy Surman | Physician Assistant | 31 Dardess Drive, Chatham, NY 12037 | 2006-06-10 |
| 1841609393 | Amy K Bartlett-palmer | Nurse Practitioner | 29 Jones Ave, Chatham, NY 12037 | 2014-08-08 |
| 1407962244 | Tracy Blatney | Massage Therapist | 19 Hudson Ave, Chatham, NY 12037-1110 | 2006-08-22 |
| 1508314048 | Integrity Chiropractic Wellness | Chiropractor | 19 Hudson Ave, Chatham, NY 12037-1110 | 2016-09-13 |
| 1932551298 | Paula Jane Daigle | Chiropractor | 19 Hudson Ave, Chatham, NY 12037-1110 | 2016-07-11 |
| Find all providers in zip 12037 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857891 | Deborah Adler | Dietitian, Registered | 122 Terrace Dr, Chatham, NJ 07928-5000 | 2020-10-07 |
| 1669080743 | Jill Eklof | Dietitian, Registered | 25 Hickory Pl Apt B6, Chatham, NJ 07928-1469 | 2020-07-15 |
| 1902278617 | Suzanne Debra Bonder | Dietitian, Registered | 24 Harvard St, Chatham, NJ 07928-2817 | 2015-10-21 |
| 1609913102 | Sapna S Lalla | Dietitian, Registered | 11 Garden Pl, Chatham, NJ 07928-2222 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.