Active NPI
Stephen Della Croce, MS, RD, CDN
- Registered Dietitian
- Uniondale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006034
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9739196293 | Other | NY | MEDICARE PACID |
| 100318993601 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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 100
- Quality
- 99.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006034 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| SDC Nutrition, PC | Dietitian, Registered | Current | Accepting new patients |
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Past | Accepting new patients | |
| Louis Swartz MD PC | Past | 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
- 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.
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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.