Active NPI
Evelyn Duran - Ponce, RD, CDE
- Metabolic Nutrition Registered Dietitian
- Smithtown, NY
National Provider Identifier
1982848537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 855320
- Practice address
- 732 Smithtown Byp 103
Smithtown, NY 11787-5020 - Phone
- (631) 265-5545
- Fax
- (631) 265-8042
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 005188-1 | NY | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 855320 | NY | Primary |
Addresses
Primary practice location
732 Smithtown Byp 103
Smithtown, NY 11787-5020
Mailing address
732 Smithtown Byp Ste 103
Smithtown, NY 11787-5020
Phone (631) 265-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000671 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 3476687864 | Practice locations: Smithtown, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
732 Smithtown Byp
Smithtown, NY 11787-5020
Phone (631) 265-2375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 855320 | NY | MD | Metabolic Nutrition Registered Dietitian |
| 005188-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Country Endocrinology, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJCEAD
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Smithtown, NY
- NPI 1295068930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1982848537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SMITHTOWN BYP STE 103",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875020",
"telephone_number": "631-265-5545",
"fax_number": "631-265-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 SMITHTOWN BYP 103",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875020",
"telephone_number": "631-265-5545",
"fax_number": "631-265-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN - PONCE",
"first_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "005188-1",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "855320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.