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NOA BENJO VASSALLO MS, CDN
NPI 1396500039
Dietitian, Registered in Melville, NY

Active since February 20, 2024
150 BROADHOLLOW RD STE 102, MELVILLE, NY 11747(516) 441-9013(215) 776-0389 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Noa Benjo Vassallo Ms, Cdn NPPES

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

NOA BENJO VASSALLO MS, CDN (NPI 1396500039) is an individual dietitian, registered in Melville, New York, licensed in New York (01081401) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1396500039
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNOA BENJO VASSALLOCredential: MS, CDN
Location Address150 BROADHOLLOW RD STE 102Melville, NY 11747-4901
Mailing Address30 Walter CtCommack, NY 11725-3602 · (516) 441-9013 · Fax (215) 776-0389
Phone(516) 441-9013
Fax(215) 776-0389
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1396500039 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 · 01081401
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.
150 BROADHOLLOW RD STE 102, Melville, NY 11747
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noa Benjo Vassallo Ms, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Noa Benjo Vassallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Dietetics And Nutrition PLLC
8.7 mi
Dietitian, Registered
358 VETERANS MEMORIAL HWY STE 10
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1669299053 (516) 441-9013

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

Other Providers at the Same Location NPPES 2

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

ANTHONY HONNOLD
Dietitian, Registered
150 BROADHOLLOW RD STE 102
MELVILLE, NY 11747
Suffolk County (516) 441-9013
LERNER PSYCHOLOGICAL SERVICES, PC
Psychologist (Clinical)
150 BROADHOLLOW RD STE 102
MELVILLE, NY 11747
Suffolk County (631) 385-7551

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 Noa Benjo Vassallo's NPI number?

The NPI number for Noa Benjo Vassallo is 1396500039. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Noa Benjo Vassallo located?

Noa Benjo Vassallo practices at 150 Broadhollow Rd Ste 102, Melville, NY 11747. The listed phone number is (516) 441-9013.

What is Noa Benjo Vassallo's specialty?

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

Is Noa Benjo Vassallo enrolled in Medicare?

Yes. Noa Benjo Vassallo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noa Benjo Vassallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noa Benjo Vassallo reassigns Medicare benefits to New York Dietetics And Nutrition PLLC (Commack, 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 Noa Benjo Vassallo'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 Noa Benjo Vassallo was last updated on February 20, 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.