Tracee Yablon Brenner

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

265 River Rd
Nyack, NY 10960-5018

Phone

(201) 741-0718

NPI assigned

May 18, 2020

Last updated

May 18, 2020By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Excelcare Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1992736300
  Medicare reassignment Care Compare group NPD
• Tracee Yablon Brenner Nutrition Services

  • Registered Dietitian
  • Nyack, NY
  • NPI 1376166918

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1033732664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 RIVER RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109605018",
            "telephone_number": "201-741-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 RIVER RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109605018",
            "telephone_number": "201-741-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABLON BRENNER",
        "first_name": "TRACEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amos Wolff, LMFT
• Elaina Marie Wood, LMSW
• Jennifer Wood
• Christina Wright, LCSW-R
• Xiaochuan Xie, LCAT
• Arlene Lagcao Yancha, P.T.
• Kaity Yim, MSTOM, LAC
• Megne Yong, OPTICIAN/ OWNER
• Janice Yoon, ATC
• Kira Loch Young, LMSW

• Registered Dietitian in Nyack, NY
• Providers in Nyack, 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 May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.