Angela McKelvey, RD, DTR

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10 Phelps Dr
Brightwaters, NY 11718-1421

Phone

(631) 220-8959

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1912759887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PHELPS DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181421",
            "telephone_number": "631-220-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PHELPS DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181421",
            "telephone_number": "631-220-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "ANGELA",
        "credential": "RD, DTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Andrew Marchese, DPT
• Stephanie Masullo
• Matrix Medical Wound Care PLLC
• Raymond Francis Mattfeld, P.T., A.T.C
• Patricia Ann McCarren, MS ED
• Medical Qualified Service of Suffolk County New York PLLC (QSS New York Medical)
• Christian Montanez, MSN, RN
• Joann Muniz Sheets, FNP
• North Shore Long Island Jewish Healthcare Inc. (Island Gynecologic Oncology)
• Debra O'Keefe

• Registered Dietitian in Brightwaters, NY
• Providers in Brightwaters, 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 Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.