Alysa Ferguson, RD CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0061761 Issued in NY

Practice address

82 Middle Country Rd
Coram, NY 11727-4411

Phone

(631) 854-2333

NPI assigned

Sep 11, 2006

Sex

Female

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

State licenses

Practice roles

Locations

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.

• CHS Physician Partners, PC

  dba Cardiac Interventional Group

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345
  Medicare reassignment NPD
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD
• Primary Urgent Medical PC

  dba Primary Care Of Long Island

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1700313574
  NPD (past)
• Primary Urgent Medical PC

  dba Primary Care of Long Island

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1700908605
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1689778847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 GRIFFING AVE",
            "address_2": "STE. 100",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013056",
            "telephone_number": "631-727-7850",
            "fax_number": "631-727-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274411",
            "telephone_number": "631-854-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ALYSA",
        "name_prefix": "Ms.",
        "credential": "RD CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0061761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stashanna Farquharson-Webb, MSW
• Lauren Fasano, LMSW
• Christine Felice, LMSW
• Nicole Marie Feliciano
• Alexis Fallon Felicio
• Denise Ferguson
• Jennifer Fermo, DDS
• Raquel Fernandes
• Denise Ferraiolo
• Sarah E Ferraro

• Registered Dietitian in Coram, NY
• Providers in Coram, 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 Aug 27, 2007; 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.