Active NPI
Jennifer Andrea Duda, RD
- Registered Dietitian
- Secaucus, NJ
National Provider Identifier
1013192285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 922627
- Practice address
- 1265 Paterson Plank Rd
Suite 3B
Secaucus, NJ 07094 - Phone
- (201) 456-5657
- Fax
- (201) 955-2127
- NPI assigned
- Jan 7, 2008
- 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 | 922627 | NJ | Primary |
Addresses
Primary practice location
1265 Paterson Plank Rd
Suite 3B
Secaucus, NJ 07094
Mailing address
1265 Paterson Plank Rd
Suite 3B
Secaucus, NJ 07094
Phone (201) 456-5657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 922627 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO D-SNP
- TX HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1013192285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 PATERSON PLANK RD",
"address_2": "SUITE 3B",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-456-5657",
"fax_number": "201-955-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 PATERSON PLANK RD",
"address_2": "SUITE 3B",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-456-5657",
"fax_number": "201-955-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDA",
"first_name": "JENNIFER",
"middle_name": "ANDREA",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "922627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.