HEATHER A. ANGELILLO RD,CDN
NPI 1205029956
Dietitian, Registered in Flushing, NY

Q: What is Heather Angelillo's NPI number?

The NPI number for Heather Angelillo is 1205029956. It was assigned to this individual provider in the NPPES registry on August 24, 2007. The provider is also known as Heather A. Bruno Rd, Cdn.

Q: What is Heather Angelillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Angelillo was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 24, 2007Accepts Medicare Assignment

140-15 SANFORD AVE., FLUSHING, NY 11355(718) 670-6400(718) 670-6479 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Heather A. Angelillo Rd,cdn NPPES

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

HEATHER A. ANGELILLO RD,CDN (NPI 1205029956) is an individual dietitian, registered in Flushing, New York, licensed in New York (006302) and active in the NPI registry since August 2007. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1205029956

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameHEATHER A. ANGELILLOCredential: RD,CDN

Location Address140-15 SANFORD AVE.Flushing, NY 11355

Mailing Address1000 Zeckendorf BlvdGarden City, NY 11530-2133 · (516) 542-6880 · Fax (516) 542-5556

Phone(718) 670-6400

Fax(718) 670-6479

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 24, 2007

Last NPPES UpdateDecember 17, 2012

✔ NPI 1205029956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 006302

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.

140-15 SANFORD AVE., Flushing, NY 11355

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Other Names 1

Former Name (1)Heather A. Bruno Rd, Cdn

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

Heather A. Angelillo Rd,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 ID345325403

PECOS Enrollment IDI20080313000206

Medicare Billing Reassignments

Medicare enrollment records show Heather Angelillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai

7.1 mi

Endocrinology, Diabetes & Metabolism

1 GUSTAVE L LEVY PL
New York, NY 10029

Reassigned Medicare billing, New York enrollment
86 clinicians in this Medicare group

NPI 1235490277 (212) 987-3100

Optum Medical Care, P.C.

31 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

Premier Physical Therapy Of Long Island PC

45 mi

Physical Therapist

1 TERRY ST
Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1528351988 (111) 111-1111

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 11355 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.

Other Providers at the Same Location NPPES

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

ROY B GUINTO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

140-15 SANFORD AVE.
FLUSHING, NY 11355

Queens County (718) 670-6400

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 Heather Angelillo's NPI number?

The NPI number for Heather Angelillo is 1205029956. It was assigned to this individual provider in the NPPES registry on August 24, 2007. The provider is also known as Heather A. Bruno Rd, Cdn.

Where is Heather Angelillo located?

Heather Angelillo practices at 140-15 Sanford Ave., Flushing, NY 11355. The listed phone number is (718) 670-6400.

What is Heather Angelillo's specialty?

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

Is Heather Angelillo enrolled in Medicare?

Yes. Heather Angelillo 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 Heather Angelillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Angelillo reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Optum Medical Care, P.C. (Mount Kisco, NY) and Premier Physical Therapy Of Long Island PC (Patchogue, NY). 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 Heather Angelillo'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 Heather Angelillo was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.