Sheryl E Phillips, M.P.H; R.D, CDE, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001992 Issued in NY

Practice address

740 Veterans Hwy
Suite 306
Hauppauge, NY 11788-2329

Phone

(631) 650-7580

Fax

(631) 650-7581

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nick H Gabriel DO PC

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  • NPI 1205168739
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1033202841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "address_2": "SUITE 306",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882329",
            "telephone_number": "631-650-7580",
            "fax_number": "631-650-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "address_2": "SUITE 306",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882329",
            "telephone_number": "631-650-7580",
            "fax_number": "631-650-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHERYL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.P.H; R.D, CDE, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "001992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "011992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britt Evelyn Peterson, R.N.
• Michelle Petraco, M.S.,CCCSLP
• Felicia Petrone
• Kim Oanh Pham, LCSW
• Malika Phillips
• Physical Therapy and Sport Services, P.C.
• Gabriella Picariello
• Karen Christine Picasso, RN
• Elise Erin Pierce
• Joanne Pierre

• Registered Dietitian in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.