Amanda Elhilow Forman, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86074759

Practice address

2175 Wantagh Ave
Wantagh, NY 11793-3972

Phone

(516) 344-5542

NPI assigned

Aug 6, 2019

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

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real You Nutrition PLLCGroup PAC ID 7618287129, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Real You Nutrition PLLC

  • Registered Dietitian
  • Massapequa, NY
  • NPI 1255707550

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• New York Queens Medicine and Surgery, P.C.

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1003114851
  Medicare reassignment NPD
• New York Queens Medicine and Surgery, P.C.

  • Multi-Specialty Clinic/Center
  • Flushing, NY
  • NPI 1740792233
  NPD
• Northeast Psychological Wellness, PLLC

  • Psychologist
  • New York, NY
  • NPI 1306408513
  NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1831744838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 31ST DR APT 316",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111065077",
            "telephone_number": "516-884-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933972",
            "telephone_number": "516-344-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "AMANDA",
        "middle_name": "ELHILOW",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86074759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Fitzgerald
• Susan M Flaherty, LCSW
• Jason Todd Flicker, M.D.
• Rosemary Flynn, RD, CDN
• Caitlyn Foglietta
• Allyson Forrer, LMSW
• Douglas Charles Foster, D.C.
• Leah Fox, MSED ECSE
• Dahlia Roseclair Francois-Dumitru, LCSW
• Frank Zic, DPT, PT, PLLC

• Registered Dietitian in Wantagh, NY
• Providers in Wantagh, 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 6, 2019; 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.