Active NPI
Putnam Personalized Nutrition Care PLLC
- Community Health Clinic/Center
- Brewster, NY
National Provider Identifier
1780534503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- PUTNAM PERSONALIZED NUTRITION CARE PLLC
- Practice address
- 16 Mount Ebo Rd S Ste 15a
Brewster, NY 10509-4037 - Phone
- (914) 458-1951
- NPI assigned
- Jan 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Iovine
- Title
- Owner
- Phone
- (914) 458-1951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
16 Mount Ebo Rd S Ste 15a
Brewster, NY 10509-4037
Mailing address
16 Mount Ebo Rd S Ste 15a
Brewster, NY 10509-4037
National Provider Directory
National Provider DirectoryLocations
16 Mount Ebo Rd S
Ste 15A
Brewster, NY 10509
Phone (914) 458-1951
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Hawthorne, NY
- NPI 1609635135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769817600000",
"number": "1780534503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MOUNT EBO RD S STE 15A",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOUNT EBO RD S STE 15A",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094037",
"telephone_number": "914-458-1951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUTNAM PERSONALIZED NUTRITION CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-31",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A",
"authorized_official_last_name": "IOVINE",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-458-1951"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.