Belinda Izevbizua

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

7680648UPD Issued in NY

Practice address

500 Peconic St Apt 96a
Ronkonkoma, NY 11779-7124

Phone

(646) 737-5854

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1215347497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 96A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797124",
            "telephone_number": "646-737-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 96A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797124",
            "telephone_number": "646-737-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEVBIZUA",
        "first_name": "BELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "7680648UPD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Inzerillo, SLP
• Iron Clad Medical Diagnostic P.C.
• Island Interventions
• Island Mobility Physical Therapy P.C.
• Island Neurology PC
• Osahon Izevbizua
• Osarose Izevbizua
• Dana Jahn, MS PT
• Ankit A Jain, DDS
• Mark Jakubowski

• Registered Dietitian in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.