Active NPI
LMG Nutrition PLLC
- Registered Dietitian
- Staten Island, NY
National Provider Identifier
1598570756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LMG NUTRITION PLLC
- Doing business as
- LMG NUTRITION
- Practice address
- 100 Foster Rd Apt B
Staten Island, NY 10309-3011 - Phone
- (646) 460-7129
- NPI assigned
- Feb 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Marie Gangemi, RD
- Title
- Registered Dietitian
- Phone
- (646) 460-7129
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
100 Foster Rd Apt B
Staten Island, NY 10309-3011
Mailing address
1365 N Railroad Ave Ste 118
Staten Island, NY 10306-2348
Phone (646) 460-7129
Other names 1
- LMG NUTRITION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1365 N Railroad Ave
Staten Island, NY 10306
Phone (646) 389-2474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Staten Island, NY
- NPI 1760074280
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1598570756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 N RAILROAD AVE STE 118",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062348",
"telephone_number": "646-460-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FOSTER RD APT B",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093011",
"telephone_number": "646-460-7129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMG NUTRITION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "GANGEMI",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "646-460-7129",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LMG NUTRITION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.