Individual provider Active NPI

Joan Marie Panepinto, RN,RD,CDCES

  • Registered Dietitian
  • Cheektowaga, NY
National Provider Identifier
1649589359
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006857 Issued in NY
Practice address
2605 Harlem Rd RM 1520
Cheektowaga, NY 14225-4018
Phone
(716) 891-2627
Fax
(716) 862-1007
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 006857 NY Primary

Addresses

Primary practice location

2605 Harlem Rd RM 1520
Cheektowaga, NY 14225-4018

Mailing address

2605 Harlem Rd RM 1520
Cheektowaga, NY 14225-4018
Phone (716) 891-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814002104 NY Practitioner - Registered Dietitian Or Nutrition Professional 2668898016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
006857NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 1, 2020 Accepting new patients
Rochester General Hospital Past Accepting new patients
Western New York Medical Practice P.C. Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Rm 1520
Cheektowaga, NY 14225
Phone (716) 891-2627

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1649589359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 HARLEM RD RM 1520",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254018",
            "telephone_number": "716-891-2627",
            "fax_number": "716-862-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 HARLEM RD RM 1520",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254018",
            "telephone_number": "716-891-2627",
            "fax_number": "716-862-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEPINTO",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN,RD,CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.