KEVIN FULLER-NG MS, RD, CSO, CDN
NPI 1356977896
Dietitian, Registered in Staten Island, NY

Q: What is Kevin Fuller-ng's NPI number?

The NPI number for Kevin Fuller-ng is 1356977896. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Q: What is Kevin Fuller-ng'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 Kevin Fuller-ng was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 17, 2020

165 VANDERBILT AVE, STATEN ISLAND, NY 10304(718) 616-0999 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Mar 19, 2020 (2 updates tracked since 2020).

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About Kevin Fuller-ng Ms, Rd, Cso, Cdn NPPES

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

KEVIN FULLER-NG MS, RD, CSO, CDN (NPI 1356977896) is an individual dietitian, registered in Staten Island, New York, licensed in New York (86027416) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1356977896

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameKEVIN FULLER-NGCredential: MS, RD, CSO, CDN

Location Address165 VANDERBILT AVEStaten Island, NY 10304-2521

Mailing Address165 Vanderbilt AveStaten Island, NY 10304-2521

Phone(718) 616-0999

Sole ProprietorNo

Enumeration DateMarch 17, 2020

Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1356977896 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 · 86027416

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 ListedDietitian, Registered · Nutrition, OncologyTaxonomy 133VN1301X · License 86027416 (NY)

165 VANDERBILT AVE, Staten Island, NY 10304

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Other Providers at the Same Location NPPES 5

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

RAMONA ANG YUBONTOY MD

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