Provider Type Icon

KEVIN FULLER-NG MS RD CSO CDN NPI 1356977896


NPI Information

NPI: 1356977896
Provider Name: KEVIN FULLER-NG, MS, RD, CSO, CDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
165 VANDERBILT AVE
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 616-0999
Get Directions

Kevin Fuller-ng, MS, RD, CSO, CDN is a dietitian registered in Staten Island, NY. The provider is 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. Kevin Fuller-ng, MS, RD, CSO, CDN NPI is 1356977896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 VANDERBILT AVE
STATEN ISLAND, NY
ZIP 10304-521
Phone: (718) 616-0999

The enumeration date for this NPI number is 3/17/2020 and was last updated on 2/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1301XDietitian, RegisteredNutrition, Oncology86027416NEW YORKNo
2133V00000XDietitian, Registered86027416NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.