Angelique Marzigliano, BS, MSACN, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

License

17630 Issued in NY

Practice address

417 Lake Ave
Saint James, NY 11780-2207

Phone

(631) 769-5356

NPI assigned

Feb 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1518664952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802207",
            "telephone_number": "631-769-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802207",
            "telephone_number": "631-769-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZIGLIANO",
        "first_name": "ANGELIQUE",
        "name_prefix": "Miss",
        "credential": "BS, MSACN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "17630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marchese, MSW
• Marie Ann Marino, RN, PNP
• Mark E. Stephen MD P.C.
• Christina Maria Marlow-Hughes, MS CCC-SLP
• Jean Marie Marx
• Shabeena Masarrath
• Maura P. Rush, Inc.
• Veronica M McKnight, RN
• Essa Ahmed Mehkri, D.O
• Laureen Mercurio, LCSW

• Nutritionist in Saint James, NY
• Providers in Saint James, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.