Individual provider Active NPI

Jocelyn Rachel Baumgarten, MS RDN CDN

  • Registered Dietitian
  • Richmond Hill, NY
National Provider Identifier
1114405560
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009440 Issued in NY
Practice address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone
(718) 206-6000
NPI assigned
Jul 29, 2018
Last updated
Jul 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009440 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Richmond Hill, NY 11418-2832

Mailing address

383 Beechmont Dr
New Rochelle, NY 10804-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230522001938 PA Practitioner - Registered Dietitian Or Nutrition Professional 8628329109 Reassigns benefits to 1 organization
I20230803001978 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8628329109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009440NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince Apr 24, 2023 Accepting new patients
Jefferson University Physicians CurrentSince Apr 24, 2023 Accepting new patients

Locations

2211 Chapel Ave W
Ste 301
Cherry Hill, NJ 08002
Phone (856) 665-2017

2211 Chapel Ave W
Ste 403
Cherry Hill, NJ 08002
Phone (856) 922-5030

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

3 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 503-3300

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1114405560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 BEECHMONT DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTEN",
        "first_name": "JOCELYN",
        "middle_name": "RACHEL",
        "credential": "MS RDN CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.