Active NPI
Gloria Sutton, R.D.
- Registered Dietitian
- Pomona, NY
National Provider Identifier
1669240115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 998455
- Practice address
- 978 Route 45 Ste 107
Pomona, NY 10970-3512 - Phone
- (845) 362-1300
- NPI assigned
- Dec 14, 2023
- Last updated
- Dec 14, 2023
- 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 | 998455 | NY | Primary |
Addresses
Primary practice location
978 Route 45 Ste 107
Pomona, NY 10970-3512
Mailing address
2043 E 1St St
Brooklyn, NY 11223-4026
Phone (917) 509-6902
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998455 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Epstein & Associates LLC | Dietitian, Registered | Past | Accepting new patients |
| Nutrition Improvement Center | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1669240115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 E 1ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234026",
"telephone_number": "917-509-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 107",
"city": "POMONA",
"state": "NY",
"postal_code": "109703512",
"telephone_number": "845-362-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "GLORIA",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "998455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
- Sandra Sullivan, RN
- Summit Park at Friedwald Care, LLC (Friedwald Adult Day Health Care at Summit)
- Summit Park Hospital and Nursing Care Center
- Supportive Futures Foundation Inc.
- Surdi Physical Therapy PC
- Sympaticare, LLC (Summit Park Hospital)
- Veronica Tadros, DMD
- Mona Tejwani
- The Smile Spot Pediatric Dentistry PLLC
- Henry M Thomas III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.