IndividualActive
Stacey Edenbaum, MS.,RD
NPI 1619812146 · Registered Dietitian · Chappaqua, NY
Stacey Edenbaum, MS.,RD is a Registered Dietitian provider in Chappaqua, NY (NPI 1619812146).
Provider details
- NPI number
- 1619812146
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS.,RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 814573 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
86 Farm Lake Crescent Rd
Chappaqua, NY 10514-3718
Phone: (512) 693-7045
Street-level locationGet directions
Mailing address
86 Farm Lake Crescent Rd
Chappaqua, NY 10514-3718
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Stacey Edenbaum's NPI number?
- Stacey Edenbaum's National Provider Identifier (NPI) is 1619812146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Edenbaum's specialty?
- Stacey Edenbaum is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Stacey Edenbaum located?
- Stacey Edenbaum's practice location on file with NPPES is 86 Farm Lake Crescent Rd, Chappaqua, NY 10514-3718.
- What is Stacey Edenbaum's phone number?
- The practice phone number listed in the NPPES registry for Stacey Edenbaum is (512) 693-7045.
- Is Stacey Edenbaum's NPI active?
- Yes — Stacey Edenbaum's NPI (1619812146) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.