Mary Damiano, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005451-1 Issued in NY

Practice address

323 Central Ave
Suite 34
Dunkirk, NY 14048-2140

Phone

(716) 366-1012

Fax

(716) 366-1298

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Nutri Perx

  • Registered Dietitian
  • Dunkirk, NY
  • NPI 1528299369

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467585190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CENTRAL AVE",
            "address_2": "SUITE 34",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482140",
            "telephone_number": "716-366-1012",
            "fax_number": "716-366-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CENTRAL AVE",
            "address_2": "SUITE 34",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482140",
            "telephone_number": "716-366-1012",
            "fax_number": "716-366-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANO",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005451-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6511551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony Cruz, LMSW
• Amy J Cully, PHARM D
• Nina Serene Currie
• CVS Albany LLC (CVS Pharmacy 00309)
• Megan Elizabeth Dalaba, LMSW
• Daniel Brunenavs (Chadwick Bay Vision Care)
• Daniel Brunenavs OD PLLC (Chadwick Bay Vision Care)
• Subhash C Das, MD
• David R Root D C P T LLC
• Louise Decosta-Bacher

• Registered Dietitian in Dunkirk, NY
• Providers in Dunkirk, 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 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.