Active NPIIndividual provider

Mr. Phoowanai Gambino, RDN, CDN

Dietitian, Registered in Hoboken, New Jersey

NPI Number1861865404
Practice location
33-41 Newark St Fl 5, Hoboken, NJ 07030-5627
Fax
201-473-5812
Last updated
April 22, 2025

Phoowanai Gambino is a Dietitian, Registered based in Hoboken, NJ. Phoowanai Gambino practices in Hoboken, NJ and has the professional credentials of RDN, CDN. The NPI Number for Phoowanai Gambino is 1861865404 and holds a License No. DI200001566 (DC). The current practice location address for Phoowanai Gambino is 33-41 Newark St Fl 5, Hoboken, NJ 07030-5627 and can be reached out via phone at 917-647-1665 and via fax at 201-473-5812.

Provider Profile Details

NPI Number
1861865404
Provider Name
Phoowanai Gambino
Credential
RDN, CDN
Provider Entity Type
Individual
Gender
Male
Address
33-41 Newark St Fl 5, Hoboken, NJ 07030-5627
Phone Number
917-647-1665
Fax Number
201-473-5812
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2015
Last Update Date
April 22, 2025
Certification Date
April 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
33-41 Newark St Fl 5
Hoboken, NJ 07030-5627
Zip
07030-5627
Phone Number
917-647-1665
Fax Number
201-473-5812
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
7917 32ND Ave # 1
East Elmhurst, NY 11370-1831
City
East Elmhurst
State
NY
Zip
11370-1831
Phone Number
917-647-1665

License Information

License Number (1)
DI200001566
License State (1)
DC
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
1101790
License State (2)
NY
Taxonomy (2)
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. Phoowanai Gambino, RDN, CDN?

The NPI number of Mr. Phoowanai Gambino, RDN, CDN is 1861865404. It was assigned on November 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Phoowanai Gambino, RDN, CDN?

Mr. Phoowanai Gambino, RDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in DC under license number DI200001566.

Where does Mr. Phoowanai Gambino, RDN, CDN practice?

The practice location is 33-41 Newark St Fl 5, Hoboken, NJ 07030-5627. The office can be reached at 917-647-1665 (phone) or 201-473-5812 (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 1861865404 directly on the NPPES registry website.

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