Active NPI
Elizabeth Tallerico, RD
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1336723998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 365 Bond St Apt B316
Brooklyn, NY 11231-5165 - Phone
- (716) 587-1470
- NPI assigned
- May 10, 2021
- 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 | Primary |
Addresses
Primary practice location
365 Bond St Apt B316
Brooklyn, NY 11231-5165
Mailing address
365 Bond St Apt B316
Brooklyn, NY 11231-5165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221014000038 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 9931575024 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Health, Inc | Dietitian, Registered | Current | Accepting new patients |
| Fig Health, Inc | Current | Accepting new patients |
Locations
33 Newark St
Fl 5
Hoboken, NJ 07030
33-41 Newark St
Fl 5
Hoboken, NJ 07030
Phone (917) 647-1665
720 Monroe St
Ste E512
Hoboken, NJ 07030
Phone (917) 647-1557
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.
-
- Clinic/Center
- Spring, TX
- NPI 1437855715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1336723998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 BOND ST APT B316",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112315165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 BOND ST APT B316",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112315165",
"telephone_number": "716-587-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLERICO",
"first_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.