Organization Active NPI

Nutrition Care of Rochester, PLLC

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1508462896
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION CARE OF ROCHESTER, PLLC
Practice address
3380 Monroe Ave Ste 213
Rochester, NY 14618-4726
Phone
(585) 563-9000
Fax
(585) 301-4895
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Mrs. Amanda Ronzo, MS. RDN. CLC. CDNNPI 1801288584
Title
Owner
Phone
(585) 563-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3380 Monroe Ave Ste 213
Rochester, NY 14618-4726

Mailing address

150 Wimbledon Rd
Rochester, NY 14617-4229

Other identifiers 1

IdentifierTypeStateIssuer
1801288584OtherNYNPI

Other names 1

  • Amanda Ronzo DBA Nutrition Care of Rochester Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102001872 NY Part B Supplier - Clinic/Group Practice 0648668186 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

3380 Monroe Ave
Ste 213
Rochester, NY 14618
Phone (585) 563-9000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1508462896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WIMBLEDON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146174229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 MONROE AVE STE 213",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184726",
            "telephone_number": "585-563-9000",
            "fax_number": "585-301-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CARE OF ROCHESTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "RONZO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-563-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS. RDN. CLC. CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801288584",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "This is my EHR system",
            "address_1": "3380 Monroe Ave Ste 213",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146184726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amanda Ronzo DBA Nutrition Care of Rochester",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.