Active NPI
Phyllis A Filgate, MA RD CDN
- Registered Dietitian
- St. Albans, NY
National Provider Identifier
1063506509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002003
- Practice address
- 179TH Street & Linden Blvd
St. Albans, NY 11425 - Phone
- (718) 298-8331
- Fax
- (718) 298-8245
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 002003 | NY | Primary |
Addresses
Primary practice location
179TH Street & Linden Blvd
St. Albans, NY 11425
Mailing address
366 Burkhard Ave
Mineola, NY 11501
Phone (718) 298-8331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063506509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 BURKHARD AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "718-298-8331",
"fax_number": "718-298-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179TH STREET & LINDEN BLVD",
"city": "ST. ALBANS",
"state": "NY",
"postal_code": "11425",
"telephone_number": "718-298-8331",
"fax_number": "718-298-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILGATE",
"first_name": "PHYLLIS",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA RD CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.