Individual provider Active NPI

Donna Marie Mercatante, MS, RDN, CDN

  • Registered Dietitian
  • Glendale, NY
National Provider Identifier
1174142939
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0482325 Issued in NY
Practice address
7816 76TH St
Glendale, NY 11385-7443
Phone
(718) 497-3815
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 0482325 NY Primary

Addresses

Primary practice location

7816 76TH St
Glendale, NY 11385-7443

Mailing address

7816 76TH St
Glendale, NY 11385-7443
Phone (718) 497-3815

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL glendale Direct

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
0482325NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1174142939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7816 76TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857443",
            "telephone_number": "718-497-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7816 76TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857443",
            "telephone_number": "718-497-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCATANTE",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "MS, RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0482325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "glendale",
            "affiliation": "N",
            "endpointDescription": "home based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7816 76th St",
            "city": "Glendale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113857443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.