Active NPI
Emilie MC Ilroy, RD, CDN
- Registered Dietitian
- Suffern, NY
National Provider Identifier
1992221873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86032485
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86032485 | NY | MD | Registered 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.