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

Stephanie Aviles, CDN

Individual provider Nutritionist · NPI 1063093698

Stephanie Aviles, CDN is a Registered Dietitian OR Nutrition Professional in Bronx, New York. Qualified in 2015, 11 years ago. Practices with Urban Health Plan Inc, a 157-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86055945
Nutritionist Taxonomy 133N00000X · Licence 010478-01 (NY)

Record details

NPI number1063093698
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDN
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address1065 Southern Blvd, Bronx, NY 10459-2417

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Urban Health Plan Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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