SHIDEH MOFIDI MS, RD, CSP
NPI 1235719212
Dietitian, Registered in Hawthorne, NY
About Shideh Mofidi Ms, Rd, Csp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIDEH MOFIDI MS, RD, CSP (NPI 1235719212) is an individual dietitian, registered in Hawthorne, New York and active in the NPI registry since April 2021. She is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shideh Mofidi Ms, Rd, Csp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shideh Mofidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shideh Mofidi's NPI number?
The NPI number for Shideh Mofidi is 1235719212. It was assigned to this individual provider in the NPPES registry on April 13, 2021.
Where is Shideh Mofidi located?
Shideh Mofidi practices at 19 Bradhurst Ave Ste 2850S, Hawthorne, NY 10532. The listed phone number is (914) 304-5280.
What is Shideh Mofidi's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Shideh Mofidi enrolled in Medicare?
Yes. Shideh Mofidi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shideh Mofidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shideh Mofidi reassigns Medicare benefits to Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shideh Mofidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shideh Mofidi was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shideh Mofidi, MS, RD, CSP · NPI 1235719212
Dietitian, Registered provider in Hawthorne, New York. Individual provider, active in the CMS NPPES registry since April 13, 2021.
## Identity
- **NPI:** 1235719212 (Entity type: Individual)
- **Enumerated:** April 13, 2021
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 19 BRADHURST AVE STE 2850S, Hawthorne, NY 10532-2140
- **Phone:** (914) 304-5280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** April 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235719212) · Data from the CMS NPPES public registry.