Individual provider Active NPI

Elizabeth F Derobertis, MS,RD,CDN,CDE

  • Registered Dietitian
  • Scarsdale, NY
National Provider Identifier
1205897600
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
259 Heathcote Rd
Scarsdale, NY 10583-4523
Phone
(914) 723-8100
Fax
(914) 428-8167
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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 NY Primary

Addresses

Primary practice location

259 Heathcote Rd
Scarsdale, NY 10583-4523

Mailing address

259 Heathcote Rd
Scarsdale, NY 10583-4523
Phone (914) 723-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000109 NY Practitioner - Registered Dietitian Or Nutrition Professional 1456450162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1411
Phone (914) 242-2020

600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone (914) 723-8100

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Dietitian, Registered CurrentSince Jan 9, 2021 Accepting new patients
Westchester Nutrition Consultants Dietitian, Registered Current Accepting new patients

Locations

600 Mamaroneck Ave
Fl 2
Harrison, NY 10528
Phone (212) 305-1107

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

259 Heathcote Rd
Scarsdale, NY 10583
Phone 9147238100106

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1205897600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 HEATHCOTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834523",
            "telephone_number": "914-723-8100",
            "fax_number": "914-428-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HEATHCOTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834523",
            "telephone_number": "914-723-8100",
            "fax_number": "914-428-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROBERTIS",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "credential": "MS,RD,CDN,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.