Individual provider Active NPI

Stephen Della Croce, MS, RD, CDN

  • Registered Dietitian
  • Uniondale, NY
National Provider Identifier
1942511183
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006034 Issued in NY
Practice address
405 RXR PLZ
Uniondale, NY 11556-3811
Phone
(800) 741-6638
Fax
(866) 610-7443
NPI assigned
Jun 22, 2010
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 006034 NY Primary

Addresses

Primary practice location

405 RXR PLZ
Uniondale, NY 11556-3811

Mailing address

440 Lakeview Rd
Bellmore, NY 11710-4209
Phone (917) 975-7946

Other practice location 1

440 Lakeview Rd
Bellmore, NY 11710-4209
Phone (800) 741-6638

Other identifiers 2

IdentifierTypeStateIssuer
9739196293OtherNYMEDICARE PACID
100318993601MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000878 NY Practitioner - Registered Dietitian Or Nutrition Professional 9739196296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians
SDC Nutrition PCGroup PAC ID 1557545845, 3 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

440 Lakeview Rd
Bellmore, NY 11710-4209
Phone (800) 741-6638

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006034NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince May 1, 2019 Accepting new patients
SDC Nutrition, PC Dietitian, Registered CurrentSince Nov 1, 2005 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince May 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients
Louis Swartz MD PC PastSince May 1, 2005 Accepting new patients
Island Renal Physicians PC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

250 Pettit Ave
Ste 101
Bellmore, NY 11710

250 Pettit Ave
Ste 4
Bellmore, NY 11710
Phone (516) 409-0106

155 W Merrick Rd
Ste 202
Freeport, NY 11520
Phone (516) 546-2448

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

400 S Oyster Bay Rd
Ste 308
Hicksville, NY 11801
Phone (516) 365-5570

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

364 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 536-3366

77 N Centre Ave
Ste 300
Rockville Ctr, NY 11570
Phone (516) 764-5807

1044 Northern Blvd
Ste 102
Roslyn, NY 11576
Phone (516) 317-1653

405 Rxr Plz
Uniondale, NY 11556
Phone (516) 478-9200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1458/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1942511183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LAKEVIEW RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104209",
            "telephone_number": "917-975-7946",
            "fax_number": "866-610-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115563811",
            "telephone_number": "800-741-6638",
            "fax_number": "866-610-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Lakeview Rd",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117104209",
            "country_code": "US",
            "telephone_number": "800-741-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLA CROCE",
        "first_name": "STEPHEN",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PACID",
            "identifier": "9739196293",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318993601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.