ANGELA MOORE CDN
NPI 1689759003
Dietitian, Registered in Staten Island, NY

Active since October 25, 2006
256 MASON AVE, STATEN ISLAND, NY 10305(718) 226-1300(718) 226-1259 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angela Moore Cdn NPPES

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

ANGELA MOORE CDN (NPI 1689759003) is an individual dietitian, registered in Staten Island, New York, licensed in New York (006032) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689759003
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANGELA MOORECredential: CDN
Location Address256 MASON AVEStaten Island, NY 10305
Mailing AddressOne Edgewater Street, Suite 723Staten Island, NY 10305 · (718) 226-1013 · Fax (718) 226-1039
Fax(718) 226-1259
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689759003 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 · 006032
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.

256 MASON AVE, Staten Island, NY 10305

Other Identifiers 2

Medicare UPINQ68380NY
Medicare ID-Type Unspecified9556E1NY

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Pathology (Clinical Pathology/Laboratory Medicine)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689759003, enumerated as an "individual" on October 25, 2006.

The provider is located at 256 MASON AVE STATEN ISLAND, NY 10305 and the phone number is (718) 226-1300.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.