Active NPI
Pam Lorraine Wingerter-Garcia, MS, RDN, CDN, CDCES
- Registered Dietitian
- Ozone Park, NY
National Provider Identifier
1225545726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 813718
- Practice address
- 9024 Silver Rd
Ozone Park, NY 11417-2020 - Phone
- (917) 364-4772
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 813718 | NY | Primary |
Addresses
Primary practice location
9024 Silver Rd
Ozone Park, NY 11417-2020
Mailing address
9024 Silver Rd
Ozone Park, NY 11417-2020
Phone (917) 364-4772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002726 | Other | NY | CERTIFIED DIETITIAN-NUTRITIONIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 813718 | NY | MD | Registered Dietitian |
| 002726 | NY | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1225545726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9024 SILVER RD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114172020",
"telephone_number": "917-364-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9024 SILVER RD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114172020",
"telephone_number": "917-364-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGERTER-GARCIA",
"first_name": "PAM",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "MS, RDN, CDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "813718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIETITIAN-NUTRITIONIST",
"identifier": "002726",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.