Lorraine Laccetti Mongiello, RD, CDE, BC-ADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Phone

(631) 474-6430

Fax

(631) 474-6161

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1376679167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671731",
            "telephone_number": "631-724-1929",
            "fax_number": "631-474-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6430",
            "fax_number": "631-474-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACCETTI MONGIELLO",
        "first_name": "LORRAINE",
        "credential": "RD, CDE, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne A Kulakowski, LMSW
• Georgia Kulina, M.D.
• Kevin Andrew Kunz
• Anthony Brian Kwan, MD
• Cara Elizabeth La Gala
• Yu Jen Lai, MD
• Thomas Lamano III, PHARMD
• Sandra Marie Lambert, LMSW
• Kathryn Alexandra Larkin, MD
• Vicki Larossa, OTR/L

• Registered Dietitian in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.