Active NPI
Julianne Yanas Chlodnicki, REGISTERED DIETITIAN
- Registered Dietitian
- Rockaway, NJ
National Provider Identifier
1003994575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 20 N Cape TRL
Rockaway, NJ 07866-4723 - Phone
- (973) 625-9503
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
20 N Cape TRL
Rockaway, NJ 07866-4723
Mailing address
20 N Cape TRL
Rockaway, NJ 07866-4723
Phone (973) 625-9503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003994575 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1003994575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N CAPE TRL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664723",
"telephone_number": "973-625-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N CAPE TRL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664723",
"telephone_number": "973-625-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHLODNICKI",
"first_name": "JULIANNE",
"middle_name": "YANAS",
"name_prefix": "Ms.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003994575",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.