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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: October 18, 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
Phone(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
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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Ivette Astudillo Javier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gamss Health Urgent Medicine PC
8.3 mi
Internal Medicine
3611 14TH AVE STE 550
Brooklyn, NY 11218
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1447078738 (718) 819-6144
Tvg Medical Group PLLC
1,634 mi
Internal Medicine
10465 MELODY DR STE 123
Northglenn, CO 80234
  • Reassigned Medicare billing, Colorado enrollment
  • 6 clinicians in this Medicare group
NPI 1649125642 (718) 819-6144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

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

What is Ivette Astudillo Javier's NPI number?

The NPI number for Ivette Astudillo Javier is 1194582288. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Ivette Astudillo Javier located?

Ivette Astudillo Javier practices at 5101 39th Ave Apt A21, Sunnyside, NY 11104. The listed phone number is (347) 832-8569.

What is Ivette Astudillo Javier's specialty?

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

Is Ivette Astudillo Javier enrolled in Medicare?

Yes. Ivette Astudillo Javier 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.

Which organizations bill Medicare for Ivette Astudillo Javier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivette Astudillo Javier reassigns Medicare benefits to 2 organizations: Gamss Health Urgent Medicine PC (Brooklyn, NY) and Tvg Medical Group PLLC (Northglenn, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivette Astudillo Javier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivette Astudillo Javier was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.