MISS IVETTE ASTUDILLO JAVIER RDN
NPI 1194582288
Dietitian, Registered in Sunnyside, NY

Active since March 05, 2024Accepts Medicare Assignment
5101 39TH AVE APT A21, SUNNYSIDE, NY 11104(347) 832-8569 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Ivette Astudillo Javier Rdn NPPES

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

MISS IVETTE ASTUDILLO JAVIER RDN (NPI 1194582288) is an individual dietitian, registered in Sunnyside, New York, licensed in New York (011283) and active in the NPI registry since March 2024. She maintains 3 additional practice locations and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194582288
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMISS IVETTE ASTUDILLO JAVIERCredential: RDN
Location Address5101 39TH AVE APT A21Sunnyside, NY 11104-1105
Mailing Address5101 39th Ave Apt A21Sunnyside, NY 11104-1105 · (347) 832-8569
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2024
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1194582288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in NY · 011283 Licensed in CO · 86169797
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.

5101 39TH AVE APT A21, Sunnyside, NY 11104

Secondary Practice Locations 3

Location 13611 14th Ave Ste 550Brooklyn, NY 11218-3773 · Phone (718) 819-6144
Location 2391 E 149th St Rm 403Bronx, NY 10455-3921 · Phone (718) 819-6144
Location 310465 Melody Dr Ste 123Northglenn, CO 80234-4101 · Phone (718) 819-6144

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

Miss Ivette Astudillo Javier Rdn 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 ID6507348786
PECOS Enrollment IDI20260305004128

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11104 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194582288, enumerated as an "individual" on March 05, 2024.

The provider is located at 5101 39TH AVE APT A21 SUNNYSIDE, NY 11104 and the phone number is (347) 832-8569.

Dietitian, Registered with taxonomy code 133V00000X.