Active NPI
Jill Lauren Beliles, RD
- Registered Dietitian
- Hyde Park, NY
National Provider Identifier
1730410366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001176
- Practice address
- 11 Crum Elbow Rd
Hyde Park, NY 12538-2852 - Phone
- (845) 229-1020
- Fax
- (845) 229-2005
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 001176 | NY | Primary |
Addresses
Primary practice location
11 Crum Elbow Rd
Hyde Park, NY 12538-2852
Mailing address
279 Main St
Suite 204
New Paltz, NY 12561-1623
Phone (845) 255-3046
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 |
|---|---|---|---|
| 001176 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1730410366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 MAIN ST",
"address_2": "SUITE 204",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125611623",
"telephone_number": "845-255-3046",
"fax_number": "845-255-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CRUM ELBOW RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125382852",
"telephone_number": "845-229-1020",
"fax_number": "845-229-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELILES",
"first_name": "JILL",
"middle_name": "LAUREN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.