Alexander Gavronsky, M.S, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86053650 Issued in NY

Practice address

475 Seaview Ave
Staten Island University Hospital
Staten Island, NY 10305-3436

Phone

(718) 226-5413

NPI assigned

Mar 1, 2017

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Boro Park Nutrition, LLC

  • Nutritionist
  • Brooklyn, NY
  • NPI 1821511262
  Medicare reassignment NPD
• Boro Park Dietitian

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1174385223

  Dietitian, Registered

  NPD (past)
• Inclusive Nutrition Counseling, PLLC

  • Registered Dietitian
  • Amherst, NY
  • NPI 1164188041

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1659811271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NEPTUNE AVE APT 11G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244050",
            "telephone_number": "646-338-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "address_2": "STATEN ISLAND UNIVERSITY HOSPITAL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRONSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "M.S, R.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86053650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Gavin, AU.D.
• Maureen Gavin, RN
• Samantha Gavin
• Gabriella Rose Gavinelli
• Nicolette Gavrilov
• Kristen K Gawley, PSYD
• Barbara Gawor, RN
• Zhanetta Gayetsky
• Natalya Gayevsky
• Krissa Gayle, LMSW

• Registered Dietitian in Staten Island, NY
• Providers in Staten Island, 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 1, 2017; 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.