Active NPI
Alenka Maria Ravnik-List, MS, RD, CDN, CDE
- Metabolic Nutrition Registered Dietitian
- New York, NY
National Provider Identifier
1184727042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 005783
- Practice address
- One Gustave Levy Place, Box 1067
New York, NY 10029-6574 - Phone
- (212) 241-6162
- Fax
- (212) 426-7730
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 005783 | NY | Primary |
Addresses
Primary practice location
One Gustave Levy Place, Box 1067
New York, NY 10029-6574
Mailing address
42 Omni Parc Dr
Nanuet, NY 10954-5947
Phone (845) 425-6573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9 Violet Dr
Pearl River, NY 10965-1209
Phone (845) 893-7036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005783 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alenka Ravnik List RDN PLLC | Current | Accepting new patients |
Locations
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
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.
-
- Registered Dietitian
- Pearl River, NY
- NPI 1467967331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184727042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 OMNI PARC DR",
"city": "NANUET",
"state": "NY",
"postal_code": "109545947",
"telephone_number": "845-425-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE GUSTAVE LEVY PLACE, BOX 1067",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-6162",
"fax_number": "212-426-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVNIK-LIST",
"first_name": "ALENKA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "005783",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.