Individual provider Active NPI

Maria Ines Aguero de Manunta, RD

  • Registered Dietitian
  • Williamsville, NY
National Provider Identifier
1962858621
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008424 Issued in NY
Practice address
705 Maple Rd Ste 300
Williamsville, NY 14221-3291
Phone
(716) 631-8400
Fax
(716) 428-3948
NPI assigned
May 11, 2016
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X 008424 NY Primary

Addresses

Primary practice location

705 Maple Rd Ste 300
Williamsville, NY 14221-3291

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (716) 631-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930000671 NY Practitioner - Registered Dietitian Or Nutrition Professional 9638466923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

38 Summerview Rd
Williamsville, NY 14221-1310
Phone (716) 308-0013

705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008424NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 5, 2023 Accepting new patients
Western New York Integrated Care Collaborative, Inc. Dietitian, Registered CurrentSince May 1, 2023 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Inclusive Nutrition Counseling, PLLC Dietitian, Registered PastSince Nov 21, 2021 Accepting new patients

Locations

742 Delaware Ave
Buffalo, NY 14209
Phone (716) 431-5100

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5470 Camp Rd
Ste 200
Hamburg, NY 14075
Phone (716) 646-2590

705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300

705 Maple Rd
Ste 300
Williamsville, NY 14221
Phone (716) 631-8400

Interoperability endpoints

  • Direct secure messaging: mmanunta@gppc.medentdirect.com

Organizations & group practices 5

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1962858621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "716-631-8400",
            "fax_number": "716-428-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAPLE RD STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213291",
            "telephone_number": "716-631-8400",
            "fax_number": "716-428-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERO DE MANUNTA",
        "first_name": "MARIA",
        "middle_name": "INES",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.