Ivette Astudillo Javier, RDN
Individual provider Active NPI Registered Dietitian · Sunnyside, NY
NPI 1194582288 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1194582288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 011283 (NY)
- Practice address
- 5101 39TH Ave Apt A21
Sunnyside, NY 11104-1105 - Phone
- (347) 832-8569
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Gamss Health Urgent Medicine PC
Practice addresses (Care Compare)
3611 14TH Ave
Suite 550
Brooklyn, NY 11218-3773
Phone (718) 819-6144
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260305004128 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 6507348786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TVG Medical Group PLLC | Current |
Accepting new patients | |
| Gamss Health Urgent Medicine PC | Current |
Accepting new patients |
Locations
10465 Melody Dr
Ste 123
Northglenn, CO 80234
Phone (718) 819-6144
391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144
3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86169797 | CO | |
| Registered Dietitian | 133V00000X | 011283 | NY | Yes |
Addresses
Primary practice location
5101 39TH Ave Apt A21
Sunnyside, NY 11104-1105
Mailing address
5101 39TH Ave Apt A21
Sunnyside, NY 11104-1105
Phone (347) 832-8569
Other practice location 1
10465 Melody Dr Ste 123
Northglenn, CO 80234-4101
Phone (718) 819-6144
Other practice location 2
391 E 149th St Rm 403
Bronx, NY 10455-3921
Phone (718) 819-6144
Other practice location 3
3611 14th Ave Ste 550
Brooklyn, NY 11218-3773
Phone (718) 819-6144
Other providers in Sunnyside, NY
- Michelle Arvin
- Suzanne Ashman-Kipervaser
- Asian Adult Day Care Center
- Astoria Advance Foot Care
- Astoria Advanced Footcare
- Edit Avodian
- Esin Aydinoglu
- Junelle Jodeen Bailey
- Mihaela Balaescu
- Jorge Alberto Ballestas
All providers in Sunnyside, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.