Active NPI
Jeanette Giacinto, RD
- Registered Dietitian
- Long Beach, NY
National Provider Identifier
1114614062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86102940
- Practice address
- 633 W Market St Uppr Unit
Long Beach, NY 11561-1718 - Phone
- (516) 320-1295
- NPI assigned
- Apr 20, 2023
- 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 | 86102940 | NY | Primary |
Addresses
Primary practice location
633 W Market St Uppr Unit
Long Beach, NY 11561-1718
Mailing address
633 W Market St Uppr Unit
Long Beach, NY 11561-1718
Phone (516) 320-1295
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86102940 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Past | Accepting new patients |
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": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1114614062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W MARKET ST UPPR UNIT",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611718",
"telephone_number": "516-320-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W MARKET ST UPPR UNIT",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611718",
"telephone_number": "516-320-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIACINTO",
"first_name": "JEANETTE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86102940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.