Active NPI
Amanda Bontempo, MS RD CDN
- Registered Dietitian
- Bronx, NY
National Provider Identifier
1255680195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006903
- Practice address
- 1625 Poplar St
Suite 101
Bronx, NY 10461-2648 - Phone
- (718) 862-8840
- Fax
- (718) 405-8551
- NPI assigned
- Sep 6, 2012
- 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 | 006903 | NY | Primary |
Addresses
Primary practice location
1625 Poplar St
Suite 101
Bronx, NY 10461-2648
Mailing address
1625 Poplar St
Suite 101
Bronx, NY 10461-2648
Phone (718) 862-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063525152 | Other | NY | MONTEFIORE MEDICAL CENTER GROUP ORGANIZATION PROVIDER NPI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1255680195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 POPLAR ST",
"address_2": "SUITE 101",
"city": "BRONX",
"state": "NY",
"postal_code": "104612648",
"telephone_number": "718-862-8840",
"fax_number": "718-405-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 POPLAR ST",
"address_2": "SUITE 101",
"city": "BRONX",
"state": "NY",
"postal_code": "104612648",
"telephone_number": "718-862-8840",
"fax_number": "718-405-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTEMPO",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "MS RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTEFIORE MEDICAL CENTER GROUP ORGANIZATION PROVIDER NPI",
"identifier": "1063525152",
"state": "NY"
}
],
"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 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.