Active NPI
Sharon R Puello, RD CDN
- Registered Dietitian
- Yonkers, NY
National Provider Identifier
1770972226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008150
- Practice address
- 128 Vernon Ave
Yonkers, NY 10704-2426 - Phone
- (917) 843-1123
- NPI assigned
- Jan 21, 2015
- 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 | 008150 | NY | Primary |
Addresses
Primary practice location
128 Vernon Ave
Yonkers, NY 10704-2426
Mailing address
128 Vernon Ave
Yonkers, NY 10704-2426
Phone (917) 843-1123
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 |
|---|---|---|---|
| 008150 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1770972226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 VERNON AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042426",
"telephone_number": "917-843-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 VERNON AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042426",
"telephone_number": "917-843-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUELLO",
"first_name": "SHARON",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
- Danuta Z Przechodzka, MD
- Tadeusz W Przechodzki, MD
- Psychological Consultation and Therapy Services, PLLC
- Psychotherapy Consultation Services LCSW PLLC
- Alana Rachel Pudalov
- Georgina M Puente, R.N.
- Pulmonary Disease Group of Westchester PLLC
- Stacey M Purro, LCSW
- Pushpinder Singh Medical Practice, PC
- Afsana Qader, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.