KELSY CAMILO RDN
NPI 1689326035
Dietitian, Registered in New York, NY

Active since January 26, 2022
511 WEST 157TH STREET, NEW YORK, NY 10032(212) 781-7979(212) 781-7963 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelsy Camilo Rdn NPPES

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

KELSY CAMILO RDN (NPI 1689326035) is an individual dietitian, registered in New York, New York and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1689326035
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELSY CAMILOCredential: RDN
Location Address511 WEST 157TH STREETNew York, NY 10032-5058
Mailing Address1063 Wheeler AveBronx, NY 10472-5509 · (917) 645-7390
Fax(212) 781-7963
Sole ProprietorNo
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 22, 2022
✔ NPI 1689326035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
511 WEST 157TH STREET, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsy Camilo Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelsy Camilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
511 WEST 157TH STREET
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group

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 9

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

Nurse Practitioner (Family)
511 WEST 157TH STREET
NEW YORK, NY 10032
Nurse Practitioner (Family)
511 WEST 157TH STREET
NEW YORK, NY 10032
Nurse Practitioner (Family)
511 WEST 157TH STREET
NEW YORK, NY 10032
Clinic/Center (Federally Qualified Health Center (FQHC))
511 WEST 157TH STREET
NEW YORK, NY 10032
Nurse Practitioner (Family)
511 WEST 157TH STREET
NEW YORK, NY 10032
Allergy & Immunology
511 WEST 157TH STREET
NEW YORK, NY 10032
Advanced Practice Midwife
511 WEST 157TH STREET
NEW YORK, NY 10032
Nurse Practitioner (Family)
511 WEST 157TH STREET
NEW YORK, NY 10032

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 Kelsy Camilo's NPI number?

The NPI number for Kelsy Camilo is 1689326035. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Kelsy Camilo located?

Kelsy Camilo practices at 511 West 157th Street, New York, NY 10032. The listed phone number is (212) 781-7979.

What is Kelsy Camilo's specialty?

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

Is Kelsy Camilo enrolled in Medicare?

Yes. Kelsy Camilo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsy Camilo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsy Camilo reassigns Medicare benefits to Community Healthcare Network Inc (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 Kelsy Camilo'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 Kelsy Camilo was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.