1. Home
  2. Directory
  3. New York
  4. Hawthorne
  5. Dietitian Registered
  6. NPI Profile

SHIDEH MOFIDI MS, RD, CSP
NPI 1235719212
Dietitian, Registered in Hawthorne, NY

Active since April 13, 2021
19 BRADHURST AVE STE 2850S, HAWTHORNE, NY 10532(914) 304-5280 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1235719212
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHIDEH MOFIDICredential: MS, RD, CSP
Location Address19 BRADHURST AVE STE 2850SHawthorne, NY 10532-2140
Mailing Address77 Martling AvePleasantville, NY 10570-3132
Phone(914) 304-5280
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 13, 2021
NPPES CertifiedApril 11, 2021
✔ NPI 1235719212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
19 BRADHURST AVE STE 2850S, Hawthorne, NY 10532
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shideh Mofidi Ms, Rd, Csp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476050865
PECOS Enrollment IDI20251010001264

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.

SARA POMERANTZ LEE PA
Physician Assistant
19 BRADHURST AVE STE 2850S
HAWTHORNE, NY 10532
Westchester County (914) 345-1313
NANDINI CHANDY MS, CGC
Genetic Counselor, MS
19 BRADHURST AVE STE 2850S
HAWTHORNE, NY 10532
Westchester County (914) 304-5280

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.

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.