Individual provider Active NPI

Amanda B Ronzo, MS,RDN,CLC,CDN

  • Nutritionist
  • Rochester, NY
National Provider Identifier
1801288584
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
48006744 Issued in NY
Practice address
3380 Monroe Ave
Ste 213
Rochester, NY 14618-4726
Phone
(585) 563-9000
Fax
(585) 301-4895
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 48006744 NY Primary

Addresses

Primary practice location

3380 Monroe Ave
Ste 213
Rochester, NY 14618-4726

Mailing address

3380 Monroe Ave
Ste 213
Rochester, NY 14618-4726
Phone (585) 563-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521002178 NY Practitioner - Registered Dietitian Or Nutrition Professional 4587085881 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3380 Monroe Ave
Suite 213
Rochester, NY 14618-4726
Phone (585) 563-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
48006744NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Care of Rochester, PLLC Dietitian, Registered CurrentSince Sep 9, 2020 Accepting new patients

Locations

3380 Monroe Ave
Ste 213
Rochester, NY 14618
Phone (585) 563-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1801288584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 MONROE AVE",
            "address_2": "STE 213",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184726",
            "telephone_number": "585-563-9000",
            "fax_number": "585-301-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 MONROE AVE",
            "address_2": "STE 213",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184726",
            "telephone_number": "585-563-9000",
            "fax_number": "585-301-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONZO",
        "first_name": "AMANDA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MS,RDN,CLC,CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "48006744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.