Active NPI
Alyssa Wengrofsky, RD
- Registered Dietitian
- Woodmere, NY
National Provider Identifier
1144038936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 646 Barnard Ave
Woodmere, NY 11598-2729 - Phone
- (516) 477-7593
- NPI assigned
- Dec 25, 2024
- Last updated
- Dec 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | NY | Primary |
Addresses
Primary practice location
646 Barnard Ave
Woodmere, NY 11598-2729
Mailing address
646 Barnard Ave
Woodmere, NY 11598-2729
Phone (516) 477-7593
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1735084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735084800000",
"number": "1144038936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 BARNARD AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982729",
"telephone_number": "516-477-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 BARNARD AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982729",
"telephone_number": "516-477-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGROFSKY",
"first_name": "ALYSSA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-25",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.