Active NPI
Stephanie Perruzza, R.D.
- Registered Dietitian
- Mount Kisco, NY
National Provider Identifier
1992073043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007154
- Practice address
- 400 E Main St
Northern Westchester Hospital Nutritional Service Dept
Mount Kisco, NY 10549-3417 - Phone
- (914) 666-1465
- Fax
- (914) 666-1053
- NPI assigned
- Dec 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007154 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Northern Westchester Hospital Nutritional Service Dept
Mount Kisco, NY 10549-3417
Mailing address
400 E Main St
Northern Westchester Hospital Attn Medical Affairs
Mount Kisco, NY 10549-3417
Phone (914) 666-1465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007154 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1992073043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL ATTN MEDICAL AFFAIRS",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-666-1465",
"fax_number": "914-666-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL NUTRITIONAL SERVICE DEPT",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-666-1465",
"fax_number": "914-666-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRUZZA",
"first_name": "STEPHANIE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.