Active NPI
Melissa Sirolli, RD, CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1114371366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008129-1
- Practice address
- 22 Cortlandt St
Suite 1632
New York, NY 10007-3107 - Phone
- (212) 419-0399
- NPI assigned
- Apr 13, 2016
- Last updated
- Apr 13, 2016
- 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 | 008129-1 | NY | Primary |
Addresses
Primary practice location
22 Cortlandt St
Suite 1632
New York, NY 10007-3107
Mailing address
22 Cortlandt St
Suite 1632
New York, NY 10007-3107
Phone (212) 419-0399
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 |
|---|---|---|---|
| 008129-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1114371366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CORTLANDT ST",
"address_2": "SUITE 1632",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100073107",
"telephone_number": "212-419-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CORTLANDT ST",
"address_2": "SUITE 1632",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100073107",
"telephone_number": "212-419-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROLLI",
"first_name": "MELISSA",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008129-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.