MS. ALYSA FERGUSON RD CDN
NPI 1689778847
Dietitian, Registered in Coram, NY

Q: What is Alysa Ferguson's NPI number?

The NPI number for Alysa Ferguson is 1689778847. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Alysa Ferguson'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 Alysa Ferguson was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 11, 2006

82 MIDDLE COUNTRY RD, CORAM, NY 11727(631) 854-2333 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Alysa Ferguson Rd Cdn NPPES

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

MS. ALYSA FERGUSON RD CDN (NPI 1689778847) is an individual dietitian, registered in Coram, New York, licensed in New York (0061761) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1689778847

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. ALYSA FERGUSONCredential: RD CDN

Location Address82 MIDDLE COUNTRY RDCoram, NY 11727-4411

Mailing Address423 Griffing Ave, Ste. 100Riverhead, NY 11901-3056 · (631) 727-7850 · Fax (631) 727-7130

Phone(631) 854-2333

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateAugust 27, 2007

✔ NPI 1689778847 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 · 0061761

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.

82 MIDDLE COUNTRY RD, Coram, NY 11727

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Other Identifiers 1

Medicare PIN9622E

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alysa Ferguson Rd Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Chs Physician Partners, P.C

12 mi

Family Medicine

213 MONTAUK HWY
West Sayville, NY 11796

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Chs Physician Partners PC
944 clinicians in this Medicare group

NPI 1679823512 (631) 563-6205

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 20

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

SUSAN HAMILL NP

Nurse Practitioner

82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727

Suffolk County (631) 320-2200

CHRISTINA M. FIGUEROA

Dietitian, Registered

82 MIDDLE COUNTRY RD
CORAM, NY 11727

Suffolk County (631) 320-2220

MRS. KATELIN SWAIN PA-C

Physician Assistant

82 MIDDLE COUNTRY RD
CORAM, NY 11727

Suffolk County (631) 320-2220

MRS. JANET AUDREY STONE NP, CNM

Nurse Practitioner

82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727

Suffolk County (631) 320-2220

DR. MUHAMMAD UMAID SIDDIQUI MD

Family Medicine

82 MIDDLE COUNTRY RD
CORAM, NY 11727

Suffolk County (844) 400-1975

MILOSLAVA ANDRST MD

Family Medicine

82 MIDDLE COUNTRY RD, ELSIE OWENS NORTH BROOKHAVEN HEALTH CENTER
CORAM, NY 11727

Suffolk County (631) 854-2301

CATHERINE AGYEKUM SAWYER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

82 MIDDLE COUNTRY RD
CORAM, NY 11727

Suffolk County (631) 320-2220

GRETCHEN PACHECO-STABILE DPM

Podiatrist

82 MIDDLE COUNTRY RD, ELSIE OWEN HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727

Suffolk County (631) 320-2220

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 Alysa Ferguson's NPI number?

The NPI number for Alysa Ferguson is 1689778847. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Alysa Ferguson located?

Alysa Ferguson practices at 82 Middle Country Rd, Coram, NY 11727. The listed phone number is (631) 854-2333.

What is Alysa Ferguson's specialty?

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

Is Alysa Ferguson enrolled in Medicare?

Yes. Alysa Ferguson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alysa Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysa Ferguson reassigns Medicare benefits to Chs Physician Partners, P.C (West Sayville, 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 Alysa Ferguson'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 Alysa Ferguson was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.