MICHELE AVITABILE


Address: 65 Cromwell Ave, Staten Island, NY 10304-3944
Phone: 7186678100

MICHELE AVITABILE (NPI# 1346365087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346365087
Entity Type Individual
Full Name MICHELE AVITABILE
Credential MS, RD, CDN
Practice Address 65 Cromwell Ave
Staten Island
NY 10304-3944
Mailing Address 133 Connecticut St
Staten Island
NY 10307-1519
Practice Telephone 7186678100
Practice Fax Number 7186676280
Mailing Telephone 9175749398
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 850647 NY Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY COMM ON DIETETIC REGIS. 850647 01

Office Location

Street Address 65 CROMWELL AVE
City STATEN ISLAND
State NY
Zip Code 10304-3944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497729081 George S. Ferzli Specialist 65 Cromwell Ave, Staten Island, NY 10304-3944 2006-02-13
1376760207 Kevin S. Brenowitz Nurse Practitioner 65 Cromwell Ave, Staten Island, NY 10304-3944 2007-04-20
1912067554 George S. Ferzli, Md, PC Specialist 65 Cromwell Ave, Staten Island, NY 10304-3944 2006-12-12
1992815021 Corneliu Theodur Vulpe Specialist 65 Cromwell Ave, Staten Island, NY 10304-3944 2006-08-30

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861995912 Erika Renick Dietitian, Registered 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 2018-03-15
1275070765 Malgorzata Rokoszak Dietitian, Registered 97 Lansing St, Staten Island, NY 10305-4307 2017-01-23
1922558790 Alexandra D'elia Dietitian, Registered 411 Huguenot Ave, Staten Island, NY 10312-1101 2016-10-05
1720445869 Christina Fahy Dietitian, Registered 2375 Richmond Rd, Staten Island, NY 10306-2352 2016-01-20
1427422484 Judy Desantis Dietitian, Registered 1187 Richmond Ave, Staten Island, NY 10314-7428 2015-11-13
1013355395 Karla E Journey Dietitian, Registered 17 Azalea Ct, Staten Island, NY 10309-1633 2013-06-10
1508202748 Estee Smoler Dietitian, Registered 346 Woodrow Rd, Staten Island, NY 10312-1305 2013-05-15
1396041190 Andrea Doria Cameron Dietitian, Registered 17 Purcell Street, Staten Island, NY 10310 2011-01-27
1811211550 Shobha Nandivada Dietitian, Registered 113 Fieldstone Rd, Staten Island, NY 10314-3275 2010-03-24
1962733311 Sally-ann Clementoni Dietitian, Registered 366 Burgher Ave, Apt 1a, Staten Island, NY 10305-2317 2010-01-25
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10304

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Dataset Information

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.

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