Matthew Pellerite, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

010506 Issued in NY

Practice address

300 Niagara St
Buffalo, NY 14201-2135

Phone

(716) 242-8600

Fax

(716) 332-0832

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Center of Wny, Inc.Group PAC ID 5193794972, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.pellerite.1@26491.direct.athenahealth.com

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.

• Neighborhood Health Center of Wny, Inc.

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1881789014
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Center of Wny, Inc.

  dba Pharmacy @ Mattina

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1821467226
  NPD
• Terrell Tiny Teeth PLLC

  • Pediatric Dentistry
  • Terrell, TX
  • NPI 1760169825
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1033927504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904",
            "fax_number": "716-875-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012135",
            "telephone_number": "716-242-8600",
            "fax_number": "716-332-0832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1569 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142131101",
            "country_code": "US",
            "telephone_number": "716-427-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLERITE",
        "first_name": "MATTHEW",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Pelkey, CRNA
• Jo Ann Pellegrino, PH. D.
• Robert James Pellegrino
• Anthony Jonathan Pellerite
• Kaitlin Pellerite, RD, CDN
• Cary Elizabeth Pellicane, LMSW
• Stephanie Ryan Pellittieri, PHARMD, RPH
• Chase D Pellow
• Nicole A Pena-Rodriguez
• Alexis Marie Pena, LMHC

• Registered Dietitian in Buffalo, NY
• Providers in Buffalo, 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 Dec 30, 2024; 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.