Natalie Robertello, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007501 Issued in NY

Practice address

3380 Sheridan Dr # 317
Amherst, NY 14226-1439

Phone

(716) 249-2644

Fax

(716) 242-0030

NPI assigned

Feb 8, 2013

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Natalie Peckham Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of New York Medical PC

  dba Moog InHealth Wellness Center

  • Multi-Specialty Clinic/Center
  • Elma, NY
  • NPI 1679057327
  NPD (past)

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1659610756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAIRCHILD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142263327",
            "telephone_number": "315-368-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 SHERIDAN DR # 317",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261439",
            "telephone_number": "716-249-2644",
            "fax_number": "716-242-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7060 Seneca St.",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "NY",
            "postal_code": "14059",
            "country_code": "US",
            "telephone_number": "716-687-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Orchard Park Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142244658",
            "country_code": "US",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTELLO",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007501",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "01043134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "PECKHAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer A Rivier, L.M.T
• Maria T Rizzo, RPA-C
• Robert Rizzone, RPH
• Nathaniel Paul Roberson, MD
• Robert J Lacarrubba DDS PC (Dr Bob's Dental Care)
• Linda Roberts
• Reginald Roberts, PH.D.
• Symone Robertson
• Dedra Robinson
• Heather R. Robinson

• Registered Dietitian in Amherst, NY
• Providers in Amherst, 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 Jan 22, 2021; 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.