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MRS. GINA ANGEL KEATLEY MBA, CDN
NPI 1164775649
Dietitian, Registered in New York, NY

Active since October 20, 2012Accepts Medicare Assignment
596 BROADWAY, SUITE 302, NEW YORK, NY 10012(800) 571-8276(888) 974-0289 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Gina Angel Keatley Mba, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GINA ANGEL KEATLEY MBA, CDN (NPI 1164775649) is an individual dietitian, registered in New York, New York, licensed in New York (007594) and active in the NPI registry since October 2012. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1164775649
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. GINA ANGEL KEATLEYCredential: MBA, CDN
Location Address596 BROADWAY, SUITE 302New York, NY 10012-3396
Mailing Address173 Hopkins St Apt 3lBrooklyn, NY 11206-5021 · (800) 571-8276 · Fax (888) 974-0289
Phone(800) 571-8276
Fax(888) 974-0289
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 20, 2012
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
✔ NPI 1164775649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 007594
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionistTaxonomy 133N00000X · License 007594 (NY)
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License 007594 (NY)
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License 007594 (NY)
596 BROADWAY, New York, NY 10012
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Other Identifiers 11

Other01901192Healthplus Amerigroup
Other9388910Aetna
OtherP4751979Oxford
OtherNU007594-B85NY · Healthfirst
OtherPH56000Elderplan
Other0000358830304United Healthcare
Other003588303001United Healthcare Ny Community
Other2305722Cigna
Other3343362Ghi
OtherSEIU1472891199seiu
Other126DB3Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gina Angel Keatley Mba, Cdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880846286
PECOS Enrollment IDI20121211000491

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE L. WHITE PT
Physical Therapist
596 BROADWAY, SUITE 302
NEW YORK, NY 10012
New York County (212) 226-2066
MR. SCOTT KEATLEY RD, CDN
Dietitian, Registered
596 BROADWAY, STE 302
NEW YORK, NY 10012
New York County (800) 571-8276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Keatley's NPI number?

The NPI number for Gina Keatley is 1164775649. It was assigned to this individual provider in the NPPES registry on October 20, 2012.

Where is Gina Keatley located?

Gina Keatley practices at 596 Broadway Suite 302, New York, NY 10012. The listed phone number is (800) 571-8276.

What is Gina Keatley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Gina Keatley enrolled in Medicare?

Yes. Gina Keatley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gina Keatley was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.