Racquel Praino, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86066091

Practice address

186 Broadway
Port Ewen, NY 12466-7707

Phone

(914) 299-5959

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1194577205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667707",
            "telephone_number": "914-299-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667707",
            "telephone_number": "914-299-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAINO",
        "first_name": "RACQUEL",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86066091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Murphy, OTR/L
• Jennifer Andrea Petruski, MSED, CCC-SLP
• Lisa Piccolo, PHYSICAL THERAPIST
• Port Ewen Pharmacy Inc
• Port Ewen RX Inc (Port Ewen Pharmacy)
• Barbara Ann Price, RPH
• Gregory Rogers, SPEECH AND LANGUAGE
• Mary Roosa, CCC-SLP
• Peter James Rubertone
• Cheyanne Tallas Sandy

• Registered Dietitian in Port Ewen, NY
• Providers in Port Ewen, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.

Verify at the official NPI Registry.