Individual provider Active NPI

Elizabeth Tallerico, RD

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1336723998
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Fig Health, Inc Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients
Fig Health, Inc CurrentSince Sep 1, 2022 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.

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.

Verify at the official NPI Registry.