Individual provider Active NPI

Andrea Aversano, MS, RD, CDN

  • Registered Dietitian
  • Hastings on Hudson, NY
National Provider Identifier
1437230489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005946-1 Issued in NY
Practice address
61 Maple Ave Apt 3a
Hastings on Hudson, NY 10706-1413
Phone
(914) 623-2726
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005946-1 NY Primary

Addresses

Primary practice location

61 Maple Ave Apt 3a
Hastings on Hudson, NY 10706-1413

Mailing address

61 Maple Ave Apt 3a
Hastings on Hudson, NY 10706-1413
Phone (914) 623-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005946-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437230489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAPLE AVE APT 3A",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061413",
            "telephone_number": "914-623-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAPLE AVE APT 3A",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061413",
            "telephone_number": "914-623-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERSANO",
        "first_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005946-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.