Active NPIIndividual providerSole proprietor

Mr. Matthew Pisano, RD

Dietitian, Registered in Bronx, New York

NPI Number1679705198
Practice location
2475 Saint Raymonds Ave, Bronx, NY 10461-3124
Fax
718-822-0592
Last updated
November 3, 2010

Matthew Pisano is a Dietitian, Registered based in Bronx, NY. Matthew Pisano practices in Bronx, NY and has the professional credentials of RD. The NPI Number for Matthew Pisano is 1679705198 and holds a License No. 10128554 (CT). The current practice location address for Matthew Pisano is 2475 Saint Raymonds Ave, Bronx, NY 10461-3124 and can be reached out via phone at 718-430-4386 and via fax at 718-822-0592.

Provider Profile Details

NPI Number
1679705198
Provider Name
Matthew Pisano
Credential
RD
Provider Entity Type
Individual
Gender
Male
Address
2475 Saint Raymonds Ave, Bronx, NY 10461-3124
Phone Number
718-430-4386
Fax Number
718-822-0592
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2009
Last Update Date
November 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
City
Bronx
Zip
10461-3124
Phone Number
718-430-4386
Fax Number
718-822-0592
Bronx, NY 10461Get directions →

Provider Business Mailing Address Details

Address
18 Drover RD
Brookfield, CT 06804-3507
City
Brookfield
State
CT
Zip
06804-3507
Phone Number
203-313-1803

License Information

License Number
10128554
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew Pisano, RD?

The NPI number of Mr. Matthew Pisano, RD is 1679705198. It was assigned on August 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew Pisano, RD?

Mr. Matthew Pisano, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 10128554.

Where does Mr. Matthew Pisano, RD practice?

The practice location is 2475 Saint Raymonds Ave, Bronx, NY 10461-3124. The office can be reached at 718-430-4386 (phone) or 718-822-0592 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679705198 directly on the NPPES registry website.

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