Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather A. Angelillo, RD, CDN

Individual provider Registered Dietitian · NPI 1205029956

Heather A. Angelillo, RD, CDN is a Registered Dietitian OR Nutrition Professional in Flushing, New York. Qualified in 2004, 22 years ago. Practices with Premier Physical Therapy of Long Island PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

140-15 Sanford Ave
Flushing, NY 11355
Phone: (718) 670-6400
Fax: (718) 670-6479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 006302 (NY)

Record details

NPI number1205029956
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN
Sole proprietorNo
NPI enumeratedAugust 24, 2007
Last updated in NPPESDecember 17, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Premier Physical Therapy Of Long Island Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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