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FADHYLLA NAZARETH SABALLOS TERCERO RD
NPI 1245711589
Dietitian, Registered in Bronx, NY

Active since August 24, 2018
100/100
CMS Quality Rating
871 PROSPECT AVE, BRONX, NY 10459(718) 991-0605 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 8, 2025, Aug 24, 2018 (2 updates tracked since 2018).

About Fadhylla Nazareth Saballos Tercero Rd NPPES

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

FADHYLLA NAZARETH SABALLOS TERCERO RD (NPI 1245711589) is an individual dietitian, registered in Bronx, New York, licensed in New York (1108586) and active in the NPI registry since August 2018. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1245711589
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameFADHYLLA NAZARETH SABALLOS TERCEROCredential: RD
Location Address871 PROSPECT AVEBronx, NY 10459-3913
Mailing Address871 Prospect AveBronx, NY 10459-3913 · (718) 991-0605
Phone(718) 991-0605
Sole ProprietorNo
Enumeration DateAugust 24, 2018
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1245711589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 1108586
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 ListedLactation Consultant, Non-RNTaxonomy 174N00000X
871 PROSPECT AVE, Bronx, NY 10459
Open in Google Maps ↗

Secondary Practice Location 1

Location 1890 Prospect AveBronx, NY 10459-3978 · Phone (718) 991-0605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fadhylla Nazareth Saballos Tercero Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Fadhylla Saballos Tercero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
4.0 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

RAFAEL GABRIEL FRIAS M.D.
Family Medicine
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
ENEAS SOARES RN, CCM, BSN
Registered Nurse
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (646) 660-0249
MONTEFIORE MEDICAL CENTER
Clinic/Center (Community Health)
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
ANNELLE C TAYLOR NP-C, WHNP-BC
Nurse Practitioner (Adult Health)
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
DR. CAROLINA MIRANDA MD
Family Medicine
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
SANDRA J AREVALO MPH, RD, CDE
Dietitian, Registered
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
MERCED VEGA AVENDANO RDN
Dietitian, Registered
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605
DR. PAOLA A RICARDO RODRIGUEZ PSY.D.
Psychologist (Clinical)
871 PROSPECT AVE
BRONX, NY 10459
Bronx County (718) 991-0605

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 Fadhylla Saballos Tercero's NPI number?

The NPI number for Fadhylla Saballos Tercero is 1245711589. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Fadhylla Saballos Tercero located?

Fadhylla Saballos Tercero practices at 871 Prospect Ave, Bronx, NY 10459. The listed phone number is (718) 991-0605.

What is Fadhylla Saballos Tercero's specialty?

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

Is Fadhylla Saballos Tercero enrolled in Medicare?

Yes. Fadhylla Saballos Tercero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fadhylla Saballos Tercero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fadhylla Saballos Tercero reassigns Medicare benefits to Montefiore Medical Center (New York, NY). The 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 Fadhylla Saballos Tercero'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 Fadhylla Saballos Tercero was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.