EAT WELL LIVE WELL INC (NPI# 1376865360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376865360 |
| Entity Type | Organization |
| Organization Name | EAT WELL LIVE WELL INC |
| Practice Address |
200 E Main St Patchogue NY 11772-3159 |
| Mailing Address |
22 Hillside Rd Stony Brook NY 11790-1019 |
| Practice Telephone | 6316896528 |
| Practice Fax Number | 6316893074 |
| Mailing Telephone | 6316896528 |
| Mailing Fax Number | 6316893074 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | GIRIJA S AYYALA (OWNER) |
| Authorized Official Telephone | 6316896528 |
| Authorized Official Credential | MS, RD, CDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 000673 | NY | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAT WELL LIVE WELL INC. | Suite 1, 384 Larkfield Road, East Northport, Ny 11731 |
| Street Address |
200 E MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108716 | Lina Cabrera | Physical Therapist | 200 E Main St, Patchogue, NY 11772-3159 | 2020-03-09 |
| 1659912608 | Lucille Lore | Nurse Practitioner | 200 E Main St, Patchogue, NY 11772-3159 | 2019-10-01 |
| 1396220646 | Shayna L Berretta | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2018-10-02 |
| 1063955474 | Gianna Flora | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2016-12-02 |
| 1275813420 | Jeanette Tadena Aranda | Physical Therapist | 200 E Main St, Patchogue, NY 11772-3159 | 2011-08-19 |
| 1972701886 | Sharon Fay Solina | Social Worker | 200 E Main St, Patchogue, NY 11772-3159 | 2007-07-03 |
| 1811199151 | Medihealth Medical PC | Internal Medicine | 200 E Main St, Patchogue, NY 11772-3159 | 2007-05-31 |
| 1568551075 | Ahmed Elfiky | Psychiatry & Neurology | 200 E Main St, Patchogue, NY 11772-3159 | 2006-10-12 |
| 1417987538 | Alicia Camacho | Family Medicine | 200 E Main St, Patchogue, NY 11772-3159 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1710406921 | Jacqueline M Iannone | Dietitian, Registered | 128 N Ocean Ave Unit A, Patchogue, NY 11772-2020 | 2017-09-19 |
| 1073556460 | Maria Puangco Curcio | Dietitian, Registered | 109 West Main Street, Hemodialysis, Patchogue, NY 11772 | 2006-06-14 |
| 1558858670 | The Rite Bite Nutrition Counseling, Pllc | Dietitian, Registered | 128 N Ocean Ave Unit A, Patchogue, NY 11772-2020 | 2018-04-13 |
| 1790211068 | Cherub Beth Barbaro | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2017-05-05 |
| 1104280395 | Mary C Cooke | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2016-04-13 |
| 1710119433 | Jill Marie Ferrara | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2009-08-13 |
| 1114179546 | Anne Hawkins | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2008-10-16 |
| 1831376250 | Michele Paula Lubin | Dietitian, Registered | 157 E Woodside Ave, Patchogue, NY 11772-1423 | 2008-01-28 |
| 1295857514 | Rama Rajagopalan | Dietitian, Registered | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2007-04-06 |
| 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 | ||||
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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.