Jacklyn Yacenda Ranalli, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

80 Warren Rd
West Orange, NJ 07052-1623

Phone

(973) 714-9199

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1083351613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WARREN RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521623",
            "telephone_number": "973-714-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WARREN RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521623",
            "telephone_number": "973-714-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 River Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201170",
            "country_code": "US",
            "telephone_number": "201-781-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANALLI",
        "first_name": "JACKLYN",
        "middle_name": "YACENDA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ramirez, IBCLC
• Ryan A Ramirez, PT
• Erlynn Mae A Ramos, OT
• Susan Ramsthaler, D.M.D.
• Mark Ramzy, DO
• Amy Rose Rasmusson, OTR/L
• Hedwig N Ratemo, NP
• Raydiant Aesthetics & Wellness LLC
• Mark Lancel Trespalacioreal Rayos del Sol, OTR/L
• Kassandra Reagan, PT, DPT

• Registered Dietitian in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.