OrganizationActive
Eat Well Live Well Inc
NPI 1376865360 · Registered Dietitian · Patchogue, NY
Provider details
- NPI number
- 1376865360
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Girija Ayyala, Owner(631) 689-6528
- License
- 000673 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E Main St
Patchogue, NY 11772-3159
Phone: (631) 689-6528
Fax: (631) 689-3074
Street-level locationGet directions
Mailing address
22 Hillside Rd
Stony Brook, NY 11790-1019
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.