KELLY ELAINE GUMPEL


Address: 60 Paulding Ave, Tarrytown, NY 10591-5713
Phone: 9142800500

KELLY ELAINE GUMPEL (NPI# 1912338120) 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) 1912338120
Entity Type Individual
Full Name KELLY ELAINE GUMPEL
Credential RD, CDN, CDE
Practice Address 60 Paulding Ave
Tarrytown
NY 10591-5713
Practice Telephone 9142800500
Mailing Telephone 9142800500
Enumeration Date 2013-12-13
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
007906 NY Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00695941 05

Office Location

Street Address 60 PAULDING AVE
City TARRYTOWN
State NY
Zip Code 10591-5713

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1316309347 Harbor Dental Public Health or Welfare 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 2016-03-29
1770948317 Hyra Kamecaj Zucker Counselor 55 Stephen Drive, Tarrytown, NY 10591 2015-12-28
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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1093219586 Nutrition Link Services, LLC Dietitian, Registered 50 Jeanne Dr, Newburgh, NY 12550-1701 2018-03-20
1275037749 Jo Ann Brown Dietitian, Registered 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 2018-03-20
1881101954 Western New York Integrated Care Collaborative, Inc. Dietitian, Registered 742 Delaware Avenue, Buffalo, NY 14209 2018-01-10
1770994741 Juliana Martinez Dietitian, Registered 430 West 34th St, Apt. 3k, New York, NY 10001-2310 2014-05-13
1467898528 Ilona Ginevic Dietitian, Registered One Gustave L. Levy Place, Box 1497, New York, NY 10029 2013-05-16
1114286887 Ilene Frischer Dietitian, Registered 560 Northern Blvd Suite207, Great Neck, NY 11021 2012-05-15
1033492582 His Rhema Nutrition Services, LLC Dietitian, Registered 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 2011-09-21
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Competitor

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City TARRYTOWN
Zip Code 10591

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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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