Anthony Dominick Patricelli Jr., RD,CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

853915 Issued in NY

Practice address

100 Washington St
Elmira, NY 14901-2849

Phone

(607) 737-4929

Fax

(607) 737-4956

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles

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.

• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • West Brentwood, NY
  • NPI 1578627485
  NPD
• Arnot Ogden Medical Center

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1265580286
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1407055882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012849",
            "telephone_number": "607-737-4929",
            "fax_number": "607-737-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012849",
            "telephone_number": "607-737-4929",
            "fax_number": "607-737-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICELLI",
        "first_name": "ANTHONY",
        "middle_name": "DOMINICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RD,CDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "853915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Naeem Parvez, MD
• Marianne S. Passmore, L.C.S.W. R
• Mihir Patel, MD
• Neha Patel, DO
• Parth Haresh Patel, DO
• Bridgette Carole Patterson, PA
• Karen Patterson, LCSW
• Joan Paul
• Kristen Lynne Pauline
• Che Paulman

• Registered Dietitian in Elmira, NY
• Providers in Elmira, 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 Jul 26, 2024; 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.