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MS. LISA MARIE GANGEMI MS, RDN
NPI 1760074280
Dietitian, Registered in Staten Island, NY

Active since February 05, 2021
100 FOSTER RD, STATEN ISLAND, NY 10309(646) 460-7129 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Marie Gangemi Ms, Rdn NPPES

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

MS. LISA MARIE GANGEMI MS, RDN (NPI 1760074280) is an individual dietitian, registered in Staten Island, New York and active in the NPI registry since February 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1760074280
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. LISA MARIE GANGEMICredential: MS, RDN
Location Address100 FOSTER RDStaten Island, NY 10309-3011
Mailing Address100 Foster RdStaten Island, NY 10309-3011 · (646) 460-7129
Phone(646) 460-7129
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 5, 2021
NPPES CertifiedNovember 9, 2020
✔ NPI 1760074280 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.
100 FOSTER RD, Staten Island, NY 10309
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Marie Gangemi Ms, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638670318
PECOS Enrollment IDI20250903001974

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 Lisa Gangemi's NPI number?

The NPI number for Lisa Gangemi is 1760074280. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Lisa Gangemi located?

Lisa Gangemi practices at 100 Foster Rd, Staten Island, NY 10309. The listed phone number is (646) 460-7129.

What is Lisa Gangemi's specialty?

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

Is Lisa Gangemi enrolled in Medicare?

Yes. Lisa Gangemi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Gangemi was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.