Jessica Marcus, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007206 Issued in NY

Practice address

412 Colusa Ave
Kensington, CA 94707-1211

Phone

(586) 596-1242

NPI assigned

Feb 3, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Jessica Ess Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2019.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1104284207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 COLUSA AVE",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071211",
            "telephone_number": "586-596-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 COLUSA AVE",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071211",
            "telephone_number": "586-596-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Broadway",
            "address_2": "#308",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112496103",
            "country_code": "US",
            "telephone_number": "586-596-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "JESSICA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ESS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ginny Howe, D.C.
• Danielle Kassouf, PSY.D.
• Kensington Optometry Inc
• Colin Lee
• Bonnie Macbride, MFT
• Miriam Marsolais
• Allen Joshua Mayer, MD
• Meg McDowell, L.AC., L.M.T.
• Nesrine Mehai
• Louie Bantugan Mendoza, D.D.S.

• All providers in Kensington, CA
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.