Individual provider Active NPI

Christine Vega-Ruscher, R.D., CDN

  • Registered Dietitian
  • Washingtonville, NY
National Provider Identifier
1427452267
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1072916 Issued in IL
Practice address
19 Tower Hill Dr
Washingtonville, NY 10992
Phone
(347) 245-9507
NPI assigned
Oct 21, 2014
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 008125 NY
Registered Dietitian 133V00000X 008125-1 NY
Registered Dietitian 133V00000X 1072916 IL Primary

Addresses

Primary practice location

19 Tower Hill Dr
Washingtonville, NY 10992

Mailing address

29 Robertson Dr
Middletown, NY 10940-3018
Phone (347) 245-9507

Other names 1

  • Christine Vega Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602002977 NY Practitioner - Registered Dietitian Or Nutrition Professional 7810318672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008125-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Windsor Family Care LLC CurrentSince Jun 1, 2024 Accepting new patients
New Windsor Pediatrics LLC. CurrentSince Jun 1, 2024 Accepting new patients

Locations

448 Temple Hill Rd
New Windsor, NY 12553
Phone (845) 561-3600

377 Broadway
Newburgh, NY 12550
Phone (845) 505-7242

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1427452267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ROBERTSON DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403018",
            "telephone_number": "347-245-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TOWER HILL DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "10992",
            "telephone_number": "347-245-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-RUSCHER",
        "first_name": "CHRISTINE",
        "credential": "R.D., CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "008125",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008125-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "1072916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "VEGA",
            "credential": "RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washingtonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.