Alenka Ravnik List RDN PLLC
Organization Active NPI Registered Dietitian · Pearl River, NY
NPI 1467967331 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1467967331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- ALENKA RAVNIK LIST RDN PLLC
- Practice address
- 9 Violet Dr
Pearl River, NY 10965 - Phone
- (845) 893-7036
- NPI assigned
- Dec 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Alenka Ravnik-List, MS,RD,CDE
- Title
- Registered Dietitian
- Phone
- (845) 893-7036
Practitioners 1
-
Alenka Maria Ravnik-List, MS, RD, CDN, CDE
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180629000514 | NY | Part B Supplier - Clinic/Group Practice | 2860748126 |
Receives reassigned benefits from 1 practitioner Practice locations: Pearl River, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
9 Violet Dr
Pearl River, NY 10965
Mailing address
9 Violet Dr
Pearl River, NY 10965-1209
Phone (845) 893-7036
Other providers in Pearl River, NY
- Advanced Dentistry of Rockland
- Advanced Surgery Center, LLC
- Aesthetic Dentistry of Rockland County
- Simar Ahluwalia
- Hanna Ysabel Alejandrino
- Fareeah Alim
- Eugenia Dunreath Anderson
- Another Step
- Melissa Anselmi
- Snehal Ramniklal Antala
All providers in Pearl River, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.