{
"Npi": {
"NPI": "1093666398",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SIMONE GAMPEL DIETITIAN-NUTRITIONIST PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2000 N VILLAGE AVE STE 211",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKVILLE CENTRE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11570-1001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-900-7922",
"MailingAddressFaxNumber": "607-203-0639",
"FirstLinePracticeLocationAddress": "2000 N VILLAGE AVE STE 211",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKVILLE CENTRE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11570-1001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-900-7922",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/04/2026",
"LastUpdateDate": "02/10/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAMPEL",
"AuthorizedOfficialFirstName": "SIMONE",
"AuthorizedOfficialMiddleName": "GILA",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RDN",
"AuthorizedOfficialTelephoneNumber": "516-714-3743",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "133V00000X",
"TaxonomyName": "Registered Dietitian",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}