Active NPI
Loretta Agosta, RDMS
- Registered Dietitian
- Montrose, NY
National Provider Identifier
1083872113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001823-1
- Practice address
- 2094 Albany Post Rd
Montrose, NY 10548-1454 - Phone
- (845) 831-2000
- NPI assigned
- May 27, 2008
- 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 | 001823-1 | NY | Primary |
Addresses
Primary practice location
2094 Albany Post Rd
Montrose, NY 10548-1454
Mailing address
31 Mayflower Ave
Dover Plains, NY 12522-5610
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001823-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1083872113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MAYFLOWER AVE",
"city": "DOVER PLAINS",
"state": "NY",
"postal_code": "125225610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 ALBANY POST RD",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105481454",
"telephone_number": "845-831-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOSTA",
"first_name": "LORETTA",
"credential": "RDMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001823-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.