NICOLETTE STAR MAGGIOLO (NPI# 1356899850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356899850 |
| Entity Type | Individual |
| Full Name | NICOLETTE STAR MAGGIOLO |
| Credential | RD |
| Practice Address |
23 Maggiolo Dr Pearl River NY 10965-1620 |
| Practice Telephone | 2014584065 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
23 MAGGIOLO DR |
| City | PEARL RIVER |
| State | NY |
| Zip Code | 10965-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1356770481 | Jennifer Marie Manfredonia | Nurse Practitioner | 200 N. Middletown Road, Pearl River, NY 10965 | 2013-11-08 |
| 1760822852 | Elizabeth Eanniello | Social Worker | 49 Meadows Street, Pearl River, NY 10965 | 2013-07-03 |
| 1679874002 | Winifred Ann Convery | Physical Therapy Assistant | 644 Orangeburg Ave, A Starting Place, Pearl River, NY 10965 | 2010-11-17 |
| 1548413511 | R Troy Q Noval | Physical Therapist | 195 Townline Rd, Pearl River, NY 10965 | 2008-11-03 |
| 1306068671 | Helen Perakis | Otolaryngology | 150 S. Pearl Street, Pearl River, NY 10965 | 2007-05-03 |
| 1609906700 | Robert Daniel Jablonski Jr. | Otolaryngology | 26 Franklin Avenue, Pearl River, NY 10965 | 2007-03-07 |
| 1265599187 | Bruce L. Rothschild Dds & Associates Pllc | Dentist | 300 N Middletown Rd., Suite 9, Pearl River, NY 10965 | 2007-01-02 |
| 1619038221 | Stefan P Kurucz | Internal Medicine | 300 North Middletown Road, Suite 11, Pearl River, NY 10965 | 2006-12-13 |
| Find all providers in zip 10965 | ||||
| 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 |
|---|---|---|---|---|
| 1144828047 | Kelsey Lubeck | Dietitian, Registered | 56 S Middletown Rd Apt 2, Pearl River, NY 10965-2644 | 2020-10-13 |
| 1467967331 | Alenka Ravnik List Rdn Pllc | Dietitian, Registered | 9 Violet Dr, Pearl River, NY 10965 | 2017-12-13 |
| 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 | ||||
| City | PEARL RIVER |
| Zip Code | 10965 |
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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.