Active NPI
Alecia Joy Cogan, RD
- Registered Dietitian
- Staten Island, NY
National Provider Identifier
1508633843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86153435
- Practice address
- 18 Haughwout Ave
Staten Island, NY 10302-2607 - Phone
- (917) 524-4679
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 86153435 | NY | Primary |
Addresses
Primary practice location
18 Haughwout Ave
Staten Island, NY 10302-2607
Mailing address
18 Haughwout Ave
Staten Island, NY 10302-2607
Phone (917) 524-4679
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 |
|---|---|---|---|
| 86153435 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1508633843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HAUGHWOUT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022607",
"telephone_number": "917-524-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HAUGHWOUT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022607",
"telephone_number": "917-524-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGAN",
"first_name": "ALECIA",
"middle_name": "JOY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86153435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
- Julie Coello, LMSW
- Cynthia Cofano, LPN
- Domenick Coffaro
- Cathryn Ann Coffey Mione
- Sheila Deford Cofield, SLP
- Deborah A Cognata, DC
- Cognitive Behavorial Therapy Mental Health Counseling PLLC
- Cognitive Therapy If Si Pysch SVCS & Lic Mental Health Counselor PLLC
- Cohen Psychological Services, PLLC
- Allen Cohen, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.