Individual provider Active NPI

Emilie MC Ilroy, RD, CDN

  • Registered Dietitian
  • Suffern, NY
National Provider Identifier
1992221873
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86032485 Issued in NY
Practice address
156 Route 59
Suffern, NY 10901-5005
Phone
(845) 547-0804
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86032485 NY Primary

Addresses

Primary practice location

156 Route 59
Suffern, NY 10901-5005

Mailing address

73 Hill St
Wood Ridge, NJ 07075-2315

Other practice location 1

384 Crystal Run Rd
Middletown, NY 10941-4072
Phone (845) 692-8780

Other practice location 2

200 Westgate Business Center Drive
119
Fishkill, NY 12524
Phone (845) 896-0610

Other names 1

  • Emilie Rosano Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86032485NYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992221873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HILL ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015005",
            "telephone_number": "845-547-0804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Crystal Run Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109414072",
            "country_code": "US",
            "telephone_number": "845-692-8780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Westgate Business Center Drive",
            "address_2": "119",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "12524",
            "country_code": "US",
            "telephone_number": "845-896-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MC ILROY",
        "first_name": "EMILIE",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86032485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "ROSANO",
            "credential": "MS RD CDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.