Individual provider Active NPI

Stephanie Nakiye Gungor, MS, RD, CNSC, CDN

  • Registered Dietitian
  • Glen Cove, NY
National Provider Identifier
1508724998
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86084875 Issued in NY
Practice address
37 Phillips Rd
Glen Cove, NY 11542-2016
Phone
(516) 965-7469
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86084875 NY Primary

Addresses

Primary practice location

37 Phillips Rd
Glen Cove, NY 11542-2016

Mailing address

37 Phillips Rd
Glen Cove, NY 11542-2016
Phone (516) 965-7469

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86084875NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1508724998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PHILLIPS RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422016",
            "telephone_number": "516-965-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PHILLIPS RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422016",
            "telephone_number": "516-965-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNGOR",
        "first_name": "STEPHANIE",
        "middle_name": "NAKIYE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CNSC, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86084875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.