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MR. SCOTT KEATLEY RD, CDN
NPI 1619327129
Dietitian, Registered in New York, NY

Active since June 15, 2016Accepts Medicare Assignment
596 BROADWAY, STE 302, NEW YORK, NY 10012(800) 571-8276(888) 974-0289 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jan 12, 2021, Oct 23, 2020 and 5 more (8 updates tracked since 2016).

About Mr. Scott Keatley Rd, Cdn NPPES

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

MR. SCOTT KEATLEY RD, CDN (NPI 1619327129) is an individual dietitian, registered in New York, New York and active in the NPI registry since June 2016. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1619327129
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. SCOTT KEATLEYCredential: RD, CDN
Location Address596 BROADWAY, STE 302New York, NY 10012-3396
Mailing Address869 Park Ave Apt 2aBrooklyn, NY 11206-7334 · (800) 571-8276 · Fax (888) 974-0289
Phone(800) 571-8276
Fax(888) 974-0289
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2016
Last NPPES UpdateJanuary 21, 20258 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1619327129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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 ListedNutritionistTaxonomy 133N00000X · License 009107 (NY)
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License 009107 (NY)
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License 009107 (NY)
596 BROADWAY, New York, NY 10012
Open in Google Maps ↗

Other Identifiers 5

OtherNU009107NY · Healthfirst
Other6004111NY · Aetna
Other75762436NY · Cigna
Other06090442NY · Blue Cross Blue Shield
Other009107NY · Nys Registration

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Scott Keatley 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 ID1557635018
PECOS Enrollment IDI20170921001687

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

MRS. GINA ANGEL KEATLEY MBA, CDN
Dietitian, Registered
596 BROADWAY, SUITE 302
NEW YORK, NY 10012
New York County (800) 571-8276
MS. STEPHANIE L. WHITE PT
Physical Therapist
596 BROADWAY, SUITE 302
NEW YORK, NY 10012
New York County (212) 226-2066

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 Scott Keatley's NPI number?

The NPI number for Scott Keatley is 1619327129. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Scott Keatley located?

Scott Keatley practices at 596 Broadway Ste 302, New York, NY 10012. The listed phone number is (800) 571-8276.

What is Scott Keatley's specialty?

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

Is Scott Keatley enrolled in Medicare?

Yes. Scott Keatley 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.

When was this NPI record last updated?

The NPPES record for Scott Keatley was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.