Ellen Petrosino, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1103105

Practice address

22 Peapack Rd
Far Hills, NJ 07931-2437

Phone

(908) 234-1160

NPI assigned

Jan 24, 2018

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 NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ellen Petrosino Consulting, LLC

  • Registered Dietitian
  • Far Hills, NJ
  • NPI 1023516135

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Newtritious You LLC

  • Registered Dietitian
  • Martinsville, NJ
  • NPI 1851804686

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1215435326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 UNION HILL RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PEAPACK RD",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312437",
            "telephone_number": "908-234-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSINO",
        "first_name": "ELLEN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1103105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnica Lauren Moore, MD
• Francesca A Nadalini, MSW
• Susan Sobel Orshan, PSY.D.
• Eva Ostrowsky, LCSW
• Peaceful Dawn Therapy
• Jeanne Petrucci, MS, RDN
• Jeffrey Witter Pike, DMD
• Dena Puorro, RD
• Recharge Chiropractic and Sports Rehab LLC
• Emilia Rose Sochovka, MS, RDN, CPT

• Registered Dietitian in Far Hills, NJ
• Providers in Far Hills, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.