Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Marie Gangemi, MS, RDN

Individual provider Registered Dietitian · NPI 1760074280

MS. Lisa Marie Gangemi, MS, RDN is a Registered Dietitian OR Nutrition Professional in Staten Island, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

100 Foster Rd
Staten Island, NY 10309-3011
Phone: (646) 460-7129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1760074280
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN
Sole proprietorYes
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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