Nutrition by Jem PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION BY JEM PLLC

Doing business as

Nutrition by JEM

Practice address

34 Melanie LN
Syosset, NY 11791-5832

Phone

(516) 724-3894

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Jillian Mergruen, RD, CDNNPI 1154805554

Title

Owner and Dietitian

Phone

(516) 724-3894

Specialties & licenses 1

Addresses

Other names 1

• Nutrition by JEM Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Mergruen, RD, CDN

  • Registered Dietitian
  • Jersey City, NJ
  • NPI 1154805554

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1114788072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 JERICHO TPKE STE 122",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MELANIE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915832",
            "telephone_number": "516-724-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION BY JEM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MERGRUEN",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER AND DIETITIAN",
        "authorized_official_telephone_number": "516-724-3894",
        "authorized_official_credential": "RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition by JEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Syosset, NY
• Providers in Syosset, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.