Heather A. Angelillo, RD,CDN
NPI 1205029956ActiveIndividual· Dietitian, Registered· Flushing, NY
Dietitian, Registered (RD,CDN) with Premier Physical Therapy of Long Island PC, practicing in Flushing, New York. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1205029956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD,CDN |
| Sole proprietor | No |
| NPI issued | Aug 24, 2007 |
| Last updated in NPPES | Dec 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 006302 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NY) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Premier Physical Therapy of Long Island PCPatchogue, NY · 2 clinicians
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All 64 registered dietitians in Flushing · All registered dietitians in New York