DEBRA PENASSO (NPI# 1437495876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437495876 |
| Entity Type | Individual |
| Full Name | DEBRA PENASSO |
| Credential | RD |
| Practice Address |
200 Lake St Newburgh NY 12550-5243 |
| Mailing Address |
2 Coates Dr Goshen NY 10924-6758 |
| Practice Telephone | 8455658022 |
| Practice Fax Number | 8455656349 |
| Mailing Telephone | 8456511412 |
| Mailing Fax Number | 8456511512 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DIETETIC REGISTRATION | 862415 | 01 |
| Street Address |
200 LAKE ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203474 | Renata Ann Witkowska | Allergy & Immunology | 200 Lake St, Newburgh, NY 12550-5243 | 2005-08-31 |
| 1629331798 | Ibrahim Raza Pasha | Internal Medicine | 200 Lake St, Newburgh, NY 12550-5243 | 2012-06-22 |
| 1326361270 | Renata Witkowska Asthma Allergy and Sinus Pllc | Allergy & Immunology | 200 Lake St, Newburgh, NY 12550-5243 | 2010-03-07 |
| 1962528471 | Joann M Reddings | Nurse Practitioner | 200 Lake St, Newburgh, NY 12550-5243 | 2007-03-22 |
| 1912957465 | Shoib Aziz | Specialist | 200 Lake St, Newburgh, NY 12550-5243 | 2006-05-12 |
| 1659322055 | S M Hamid Hossain | Internal Medicine | 200 Lake St, Newburgh, NY 12550-5243 | 2006-05-12 |
| 1790734101 | Hudson Valley Nephrologists P.c | Specialist | 200 Lake St, Newburgh, NY 12550-5243 | 2006-05-10 |
| 1578513883 | Yong N Wen | Internal Medicine | 200 Lake St, Newburgh, NY 12550-5243 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1700407095 | Jessica Woodford | Dietitian, Registered | 7000 Jenner Rd, Newburgh, IN 47630-8176 | 2020-04-28 |
| 1619597101 | Angela Zirkelbach | Dietitian, Registered | 6900 Ferstel Rd, Newburgh, IN 47630-1746 | 2020-04-24 |
| 1376172437 | Marianne Croft Olsen | Dietitian, Registered | 4333 Bell Rd Unit 115, Newburgh, IN 47630-8104 | 2020-04-02 |
| 1396261426 | Triple A Supplies, Inc | Dietitian, Registered | 50 Jeanne Drive, Newburgh, NY 12550-7634 | 2017-08-21 |
| 1477092963 | Nicole Bobe | Dietitian, Registered | 5988 Cypress Pointe Dr, Newburgh, IN 47630-9844 | 2017-02-16 |
| 1912245556 | Kathy Ann Davis | Dietitian, Registered | 1977 Sandal Way, Newburgh, IN 47630-8983 | 2013-01-16 |
| 1215105549 | Kathleen A Estony | Dietitian, Registered | St Lukes Dialysis Center, 4 Corwin Ct, Newburgh, NY 12550 | 2008-02-20 |
| 1184829889 | Beulah C Lewis-vann | Dietitian, Registered | 45 Poplar St, Newburgh, NY 12550-4043 | 2007-06-20 |
| 1730736901 | Jessica Martin | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
| 1891342051 | Abigail Eger | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
| Find all providers in NEWBURGH | ||||
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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.