Individual provider Active NPI

Jennifer Zingaro, RD CDN

  • Renal Nutrition Registered Dietitian
  • Syracuse, NY
National Provider Identifier
1114226552
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
48 006171 Issued in NY
Practice address
910 Erie Blvd E
Cny Dialysis Center
Syracuse, NY 13210-1048
Phone
(315) 410-8040
Fax
(315) 410-8030
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 48 006171 NY
Renal Nutrition Registered Dietitian 133VN1005X 48 006171 NY Primary

Addresses

Primary practice location

910 Erie Blvd E
Cny Dialysis Center
Syracuse, NY 13210-1048

Mailing address

144 Dorando Way
Liverpool, NY 13090-3733
Phone (315) 453-5575

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

LicenseStateTypeSpecialty
48 006171NYMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1114226552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 DORANDO WAY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903733",
            "telephone_number": "315-453-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ERIE BLVD E",
            "address_2": "CNY DIALYSIS CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101048",
            "telephone_number": "315-410-8040",
            "fax_number": "315-410-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGARO",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "RD CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "48 006171",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "48 006171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.