Angela Peters, MS, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

012909 Issued in NY

Practice address

21 Glen Hollow Dr Apt G18
Holtsville, NY 11742-2458

Phone

(631) 456-2276

NPI assigned

Nov 26, 2025

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• New York Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Commack, NY
  • NPI 1669299053

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1871455071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GLEN HOLLOW DR APT G18",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GLEN HOLLOW DR APT G18",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422458",
            "telephone_number": "631-456-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ANGELA",
        "credential": "MS, RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Namorato, M.A. CCC-SLP, TSSLD
• Paul K.J. Palladino, LMT
• Sheekha Upadhyaya Patel, PHARMD
• Melissa Perry, M.A. BCBA
• Heather L Pesce, MS ED
• Ann Pierre
• Joanne Poggio
• Kevin Lee Pollard Jr.
• Jacqueline Porcelli, LCSW
• Portion Road Acupuncture PLLC

• Registered Dietitian in Holtsville, NY
• Providers in Holtsville, 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 Nov 26, 2025; 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.