Madison R Grande, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1 Saint Andrews LN
Glen Cove, NY 11542-2221

Phone

(516) 219-9732

NPI assigned

Aug 10, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeast Psychological Wellness, PLLC

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  • New York, NY
  • NPI 1306408513
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1447933833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 FLINT CT",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892604",
            "telephone_number": "845-659-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ANDREWS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422221",
            "telephone_number": "516-219-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Wantagh Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117933972",
            "country_code": "US",
            "telephone_number": "516-344-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "MADISON",
        "middle_name": "R",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Goodstein, MD
• Michael Gordon, MD
• Jennifer Lynn Gorgano, MA
• Aileen Robin Gould, LMHC
• William Joseph Goumas, DPT
• Beverly Granger, D.D.S.
• Green Napkin Chefs LLC
• Gregorio V. Reyes MD PC
• Melissa Grella
• Romilda Grella, M.S., R.D., CDN

• Registered Dietitian in Glen Cove, NY
• Providers in Glen Cove, 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 Aug 10, 2023; 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.