Angela Iovine, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

011113-01 Issued in NY

Practice address

19 Bradhurst Ave
Hawthorne, NY 10532-2140

Phone

(914) 592-2400

NPI assigned

Mar 18, 2024

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)

Enrolled

State licenses

Practice roles

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.

• Putnam Personalized Nutrition Care PLLC

  • Community Health Clinic/Center
  • Brewster, NY
  • NPI 1780534503
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1609635135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LAWRENCE DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095645",
            "telephone_number": "845-542-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-592-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOVINE",
        "first_name": "ANGELA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011113-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagih Ibrahim, R.S.A
• Adela Cristina Igniska, MS, ATC
• Uloma Ijomah, NP
• Independent Care Medical PLLC
• Melissa Infantino, COTA/L
• Michael Ian Israel, D.M.D
• Henry J Issenberg, MD
• Elizabeth Ittan, MS
• Sei Iwai, MD
• Gina M Izzi

• Registered Dietitian in Hawthorne, NY
• Providers in Hawthorne, 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 Mar 18, 2024; 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.