Active NPI
Elizabeth A. Grimaldi, R.D.
- Registered Dietitian
- Campbell Hall, NY
National Provider Identifier
1659597557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001069-1
- Practice address
- 6 Oak LN
Campbell Hall, NY 10916-3334 - Phone
- (845) 496-9487
- Fax
- (845) 496-9487
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001069-1 | NY | Primary |
Addresses
Primary practice location
6 Oak LN
Campbell Hall, NY 10916-3334
Mailing address
6 Oak LN
Campbell Hall, NY 10916-3334
Phone (845) 496-9487
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001069 | NY | MD | Mental Health Counselor |
| 001069-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Montgomery Physical Therapy & Wellness PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Access Physical Therapy & Wellness
- Physical Therapist
- Montgomery, NY
- NPI 1942239850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659597557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OAK LN",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109163334",
"telephone_number": "845-496-9487",
"fax_number": "845-496-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OAK LN",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109163334",
"telephone_number": "845-496-9487",
"fax_number": "845-496-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMALDI",
"first_name": "ELIZABETH",
"middle_name": "A.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001069-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell Hall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.