Active NPI
Jessica Fontanelli, RD
- Registered Dietitian
- Niskayuna, NY
National Provider Identifier
1861946246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007418
- Practice address
- 2125 River Rd
Suite 302
Niskayuna, NY 12309-1135 - Phone
- (518) 243-1313
- Fax
- (518) 831-7007
- NPI assigned
- Aug 15, 2016
- Last updated
- Aug 15, 2016
- 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 | 007418 | NY | Primary |
Addresses
Primary practice location
2125 River Rd
Suite 302
Niskayuna, NY 12309-1135
Mailing address
2125 River Rd
Suite 302
Niskayuna, NY 12309-1135
Phone (518) 243-1313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007418 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1861946246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 RIVER RD",
"address_2": "SUITE 302",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123091135",
"telephone_number": "518-243-1313",
"fax_number": "518-831-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 RIVER RD",
"address_2": "SUITE 302",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123091135",
"telephone_number": "518-243-1313",
"fax_number": "518-831-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANELLI",
"first_name": "JESSICA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niskayuna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.