Active NPI
Dorothy Dellefave, RD
- Registered Dietitian
- Auburn, NY
National Provider Identifier
1043358625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005543-1
- Practice address
- 17 Lansing St
Auburn, NY 13021-1983 - Phone
- (315) 877-5343
- NPI assigned
- Feb 3, 2007
- Last updated
- May 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005543-1 | NY | Primary |
Addresses
Primary practice location
17 Lansing St
Auburn, NY 13021-1983
Mailing address
7253 Owasco Rd
Auburn, NY 13021-5132
Phone (315) 253-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5543 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Endocrinology, Diabetes & Metabolism, PLLC | Past | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
6007 Fair Lakes Rd
Ste 400
East Syracuse, NY 13057
Phone (315) 234-5730
Organizations & group practices 3
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.
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- Endocrinology, Diabetes & Metabolism Physician
- Auburn, NY
- NPI 1710255120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1043358625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7253 OWASCO RD",
"city": "AUBURN",
"state": "NY",
"postal_code": "130215132",
"telephone_number": "315-253-6283",
"fax_number": "315-282-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LANSING ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-877-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLEFAVE",
"first_name": "DOROTHY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005543-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.