Angela Surowiecki, MS RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

03-175723 Issued in CT

Practice address

20 Blacksmith Dr
Middletown, CT 06457-2072

Phone

(860) 301-3806

NPI assigned

Apr 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1033506324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BLACKSMITH DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572072",
            "telephone_number": "860-301-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BLACKSMITH DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572072",
            "telephone_number": "860-301-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Research Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064921929",
            "country_code": "US",
            "telephone_number": "860-351-3144",
            "fax_number": "833-734-1474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUROWIECKI",
        "first_name": "ANGELA",
        "credential": "MS RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "03-175723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Middletown, CT
• Providers in Middletown, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.