Active NPI
Charlene Fox, RD, CDE
- Registered Dietitian
- East Setauket, NY
National Provider Identifier
1457845083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 929486
- Practice address
- 37 Research Way
East Setauket, NY 11733-3465 - Phone
- (631) 444-7885
- Fax
- (631) 444-8968
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 929486 | NY | Primary |
Addresses
Primary practice location
37 Research Way
East Setauket, NY 11733-3465
Mailing address
Stony Brook Children'S Hospital
100 Nicolls Road, T-11, Room 060
Stony Brook, NY 11794-8111
Phone (631) 444-7885
Other names 1
- Ms. Charlene Brechisci
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 929486 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1457845083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STONY BROOK CHILDREN'S HOSPITAL",
"address_2": "100 NICOLLS ROAD, T-11, ROOM 060",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-7885",
"fax_number": "631-444-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333465",
"telephone_number": "631-444-7885",
"fax_number": "631-444-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CHARLENE",
"name_prefix": "Ms.",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "929486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "BRECHISCI",
"prefix": "MS.",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.