Yvonne Quinones Syto, MA, RD, IBCLC

Individual provider Active NPI Registered Dietitian · Stanhope, NJ

NPI 1952507337 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1952507337
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
844682 (NJ)
Practice address
15 Bertha St
Stanhope, NJ 07874-2318
Phone
(973) 600-9993
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Bertha St
Stanhope, NJ 07874-2318
Phone (973) 600-9993

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050726000762 NJ Practitioner - Registered Dietitian Or Nutrition Professional 9436186962 Practice locations: Stanhope, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
844682NJMDRegistered Dietitian

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital Past Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 844682 NJ Yes

Addresses

Primary practice location

15 Bertha St
Stanhope, NJ 07874-2318

Mailing address

15 Bertha St
Stanhope, NJ 07874-2318
Phone (973) 600-9993

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952507337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BERTHA ST",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078742318",
            "telephone_number": "973-600-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BERTHA ST",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078742318",
            "telephone_number": "973-600-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYTO",
        "first_name": "YVONNE",
        "middle_name": "QUINONES",
        "name_prefix": "Mrs.",
        "credential": "MA, RD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "844682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanhope, NJ

All providers in Stanhope, NJ · Registered Dietitian in New Jersey

Sources for this page

Verify at the official NPI Registry.