Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Cheryl Edenbaum, MS, RD

Individual provider Registered Dietitian · NPI 1619812146

Stacey Cheryl Edenbaum, MS, RD is a Registered Dietitian in Chappaqua, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

86 Farm Lake Crescent Rd
Chappaqua, NY 10514-3718
Phone: (512) 693-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 814573 (NY)

Record details

NPI number1619812146
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD
Sole proprietorYes
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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