Active NPI
Rabia A Ali, RDN
- Pediatric Nutrition Registered Dietitian
- Staten Island, NY
National Provider Identifier
1609563220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 86169460
- Practice address
- 61 Speedwell Ave
Staten Island, NY 10314-3261 - Phone
- (347) 613-0729
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86169460 | NY | Primary |
Addresses
Primary practice location
61 Speedwell Ave
Staten Island, NY 10314-3261
Mailing address
2454-2460 Hylan Blvd
Staten Island, NY 10306
Phone (347) 613-0729
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 |
|---|---|---|---|
| 86169460 | NY | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1609563220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2454-2460 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "347-613-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 SPEEDWELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143261",
"telephone_number": "347-613-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "RABIA",
"middle_name": "A",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "86169460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 24, 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.