Active NPI
Denise Stasolla, MS, RD
- Nutritionist
- Hawthorne, NY
National Provider Identifier
1023211802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 000144-1
- Practice address
- 287 Brighton Ave
Hawthorne, NY 10532-1724 - Phone
- (914) 769-2270
- Fax
- (914) 769-7733
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 000144-1 | NY | Primary |
| Registered Dietitian | 133V00000X | 000144-1 | NY |
Addresses
Primary practice location
287 Brighton Ave
Hawthorne, NY 10532-1724
Mailing address
287 Brighton Ave
Hawthorne, NY 10532-1724
Phone (914) 769-2270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000144-1 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1023211802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 BRIGHTON AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321724",
"telephone_number": "914-769-2270",
"fax_number": "914-769-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 BRIGHTON AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321724",
"telephone_number": "914-769-2270",
"fax_number": "914-769-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASOLLA",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "000144-1",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000144-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.