Active NPI
Fadhylla Nazareth Saballos Tercero, RD
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1245711589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1108586
- Practice address
- 871 Prospect Ave
Bronx, NY 10459-3913 - Phone
- (718) 991-0605
- NPI assigned
- Aug 24, 2018
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1108586 | NY | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | NU |
Addresses
Primary practice location
871 Prospect Ave
Bronx, NY 10459-3913
Mailing address
871 Prospect Ave
Bronx, NY 10459-3913
Phone (718) 991-0605
Other practice location 1
890 Prospect Ave
Bronx, NY 10459-3978
Phone (718) 991-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009675 | NY | MD | Clinical Psychologist |
| 1108586 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
871 Prospect Ave
Bronx, NY 10459
Phone (718) 991-0605
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Clinic/Center
- Bronx, NY
- NPI 1790060606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1245711589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 PROSPECT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104593913",
"telephone_number": "718-991-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 PROSPECT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104593913",
"telephone_number": "718-991-0605"
}
],
"practiceLocations": [
{
"address_1": "890 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104593978",
"country_code": "US",
"telephone_number": "718-991-0605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABALLOS TERCERO",
"first_name": "FADHYLLA",
"middle_name": "NAZARETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1108586",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.