Active NPI
Catherine Izzo
- Nutritionist
- East Setauket, NY
National Provider Identifier
1164957171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 008988
- Practice address
- 235 N Belle Mead Rd
East Setauket, NY 11733-3456 - Phone
- (631) 751-3000
- Fax
- (631) 675-2001
- NPI assigned
- Apr 27, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 008988 | NY | Primary |
Addresses
Primary practice location
235 N Belle Mead Rd
East Setauket, NY 11733-3456
Mailing address
235 N Belle Mead Rd
East Setauket, NY 11733-3456
Phone (631) 751-3000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008988 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1164957171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N BELLE MEAD RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333456",
"telephone_number": "631-751-3000",
"fax_number": "631-675-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N BELLE MEAD RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333456",
"telephone_number": "631-751-3000",
"fax_number": "631-675-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZZO",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "008988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.