Bonnie Renee Giller, MS, RD, CDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000251 Issued in NY

Practice address

383 Plymouth St
West Hempstead, NY 11552-2450

Phone

(516) 486-4569

Fax

(516) 486-1792

NPI assigned

Apr 17, 2007

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

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 25, 2015 through Sep 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BRG Dietetics & Nutrition, P.C.

  • Registered Dietitian
  • West Hempstead, NY
  • NPI 1053486407

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194941591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 PLYMOUTH ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522450",
            "telephone_number": "516-486-4569",
            "fax_number": "516-486-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 PLYMOUTH ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522450",
            "telephone_number": "516-486-4569",
            "fax_number": "516-486-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLER",
        "first_name": "BONNIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8000066",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1141750",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLANS",
            "identifier": "2142444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8461009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P797526",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE MEDICAID",
            "identifier": "100114175001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "205253P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa M Gherardi, RN
• Susan Ann Gianfortune, O.D.
• Albert Giannone, M.D.
• Barbara Gilbert, L.C.S.W.
• Danielle Gill, RD
• Jennifer Giller
• Henry C Ginsberg, DPM
• Giuce Enterprises Inc.
• Harriet Gold Cabelly
• Francyn Goldhirsch

• Registered Dietitian in West Hempstead, NY
• Providers in West Hempstead, 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 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.