Camille Gervacio Zeltmann

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86050777 Issued in NY

Practice address

3391 Poplar St
Oceanside, NY 11572-4518

Phone

(917) 502-2272

NPI assigned

May 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NY2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Nutrithyme LLC

  • Registered Dietitian
  • Oceanside, NY
  • NPI 1124819156

  Dietitian, Registered

  NPD Authorized official
• Sweet Nutrition Nyc, LLC

  • Registered Dietitian
  • Oceanside, NY
  • NPI 1932093911
  Medicare reassignment

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1518523976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 POPLAR ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724518",
            "telephone_number": "917-502-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 POPLAR ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724518",
            "telephone_number": "917-502-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELTMANN",
        "first_name": "CAMILLE",
        "middle_name": "GERVACIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90653",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86050777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Jun Yun, MD
• Natalie Zabrocka, OTR/L
• John Zadran, MD
• Aviva Zaghi
• Tahmid Zawad, DPM
• Rui Zhang
• Alan Zhao, PHARMD
• Sarah Lynn Zilberzweig, PA
• Kathryn Rose Zimmer, PA-C
• Daniel Zinkovsky, M.D., PHARM.D.

• Registered Dietitian in Oceanside, NY
• Providers in Oceanside, 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 Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.