Individual provider Active NPI

Nicole Scarangello, MS, RD, CDN

  • Registered Dietitian
  • Staten Island, NY
National Provider Identifier
1104511203
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
011171 Issued in NY
Practice address
114 Bentley St
Staten Island, NY 10307-1234
Phone
(917) 714-2413
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 011171 NY Primary

Addresses

Primary practice location

114 Bentley St
Staten Island, NY 10307-1234

Mailing address

114 Bentley St
Staten Island, NY 10307-1234
Phone (917) 714-2413

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 Science

State licenses

LicenseStateTypeSpecialty
011171NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Langone Wellness Consulting LLC Dietitian, Registered CurrentSince Nov 24, 2025 Accepting new patients
Worksite Wellness Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1104511203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BENTLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071234",
            "telephone_number": "917-714-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BENTLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071234",
            "telephone_number": "917-714-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANGELLO",
        "first_name": "NICOLE",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.