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SARAH DEROSA RDN
NPI 1861253197
Dietitian, Registered in Roslyn Heights, NY

Active since January 23, 2024
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577(516) 616-5500 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Derosa Rdn NPPES

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

SARAH DEROSA RDN (NPI 1861253197) is an individual dietitian, registered in Roslyn Heights, New York and active in the NPI registry since January 2024. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1861253197
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSARAH DEROSACredential: RDN
Location Address125 MINEOLA AVE STE 200Roslyn Heights, NY 11577-2042
Mailing Address125 Mineola Ave Ste 200Roslyn Heights, NY 11577-2042 · (516) 616-5500
Phone(516) 616-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1861253197 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.
125 MINEOLA AVE STE 200, Roslyn Heights, NY 11577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7911425608
PECOS Enrollment IDI20251016000129

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Derosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Bariatric Surgery Group PLLC
Same address
Specialist
125 MINEOLA AVE, SUITE 200
Roslyn Heights, NY 11577
  • Reassigned Medicare billing, Connecticut and New York enrollments
  • 30 clinicians in this Medicare group
NPI 1164898821 (516) 616-5500
Premier Bariatric New Jersey PC
34 mi
Specialist
1680 ROUTE 23
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
NPI 1548735145 (516) 616-5500

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 7

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

EDEN BESSALELI PA
Physician Assistant
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (800) 633-8446
DR. SHAWN MARC GARBER M.D.
Surgery
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 616-5500
SHARON GEORGE
Dietitian, Registered
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 616-5500
SHARA LAZAR RD
Dietitian, Registered
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 616-5500
KAREN SANCHEZ
Physician Assistant
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (800) 633-8446
JACQUELINE MARIE GRIBKO PA
Physician Assistant (Surgical)
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (800) 633-8446
ANISH A SHAH M.D.
Surgery
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Nassau County (800) 633-8446

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 Sarah Derosa's NPI number?

The NPI number for Sarah Derosa is 1861253197. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Sarah Derosa located?

Sarah Derosa practices at 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577. The listed phone number is (516) 616-5500.

What is Sarah Derosa's specialty?

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

Is Sarah Derosa enrolled in Medicare?

Yes. Sarah Derosa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Derosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Derosa reassigns Medicare benefits to 2 organizations: New York Bariatric Surgery Group PLLC (Roslyn Heights, NY) and Premier Bariatric New Jersey PC (Wayne, NJ). Each 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 Sarah Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Derosa accept?

Health plans from Anthem Blue Cross and Blue Shield list Sarah Derosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Derosa was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.